Individual
CARL MILLIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4212 PINE PKWY S, FARGO, ND 58104-8575
(701) 412-8994
Mailing address
4212 PINE PKWY S, FARGO, ND 58104-8575
(701) 412-8994
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
743036
NY
Other
Enumeration date
01/09/2018
Last updated
07/03/2023
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