Organization
GREGORY S MILLEVILLE, MD, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY SCOTT MILLEVILLE MD (PRESIDENT)
(414) 333-0224
Entity
Organization
Contact information
Practice address
3070 N 51ST ST STE 309, MILWAUKEE, WI 53210-1661
(414) 333-0224
Mailing address
3070 N 51ST ST STE 309, MILWAUKEE, WI 53210-1661
(414) 333-0224
(414) 447-1070
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
25845
WI
282N00000X
General Acute Care Hospital
Primary
25845-20
WI
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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