Individual
CALVIN ANDREW STONE MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
186 PROVIDENCE ST, WEST WARWICK, RI 02893-2508
(401) 615-2800
Mailing address
186 PROVIDENCE ST, WEST WARWICK, RI 02893-2508
(401) 767-4100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
LP05762
RI
207Q00000X
Family Medicine Physician
Primary
MD20740
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2022
Last updated
09/02/2025
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