Individual
AUTUMN R MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2601 FIELDCREST DR, KAUKAUNA, WI 54130-4523
(920) 462-6100
(920) 462-6107
Mailing address
2601 FIELDCREST DR, KAUKAUNA, WI 54130-4523
(920) 462-6100
(920) 462-6107
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2661-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093851
NCCPA CERTIFICATION
—
01
—
2661-023
WI LICENSE
WI
Enumeration date
09/21/2010
Last updated
03/20/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us