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Individual

DR. MARK A. MILLS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6465 MILLENNIUM, SUITE 100, LANSING, MI 48917-7831
(517) 367-5220
(517) 367-5245
Mailing address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(810) 342-1000
(810) 342-1590

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301049237
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0400264
PHYSICIANS HEALTH PLAN
MI
01
1103302772
BLUE CROSS BLUE SHIELD
MI
01
204119
MCLAREN HEALTH PLAN
MI
05
4130522
MI
01
7720197
AETNA
MI
01
F05598
HEALTH NET FEDERAL SERVIC
MI
Enumeration date
11/11/2005
Last updated
07/08/2007
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