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Individual

JERRY P MILAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1201 RICKER RD, SALEM, IL 62881-4263
(618) 548-3194
(618) 548-8926
Mailing address
312 BELMONT CT, MULLICA HILL, NJ 08062-3638
(856) 472-0360
(815) 254-2287

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-115292
IL
207P00000X
Emergency Medicine Physician
Primary
25MB08356300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0167690
NJ
Enumeration date
06/23/2006
Last updated
06/07/2023
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