Individual
MICHELLE MARIE MILIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3800 RESERVOIR RD NW, PHC 5TH FLOOR, WASHINGTON, DC 20007-2113
(202) 444-8830
Mailing address
3800 RESERVOIR RD NW, 4 MAIN, WASHINGTON, DC 20007-2113
(202) 444-8830
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
210137
MA
207RP1001X
Pulmonary Disease Physician
A105285
CA
207RP1001X
Pulmonary Disease Physician
Primary
MD042553
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2098601
—
MA
Enumeration date
10/21/2005
Last updated
11/07/2014
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