Individual
OLIVIA CLAIRE MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GC
Contact information
Practice address
11123 PARKVIEW PLAZA DR STE 204, FORT WAYNE, IN 46845-1707
(260) 266-8380
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
99104589A
IN
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
74000549A
IN
Other
Enumeration date
06/11/2021
Last updated
04/07/2026
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