Individual
WILLIAM D MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 559-2171
(763) 694-9000
Mailing address
2800 CAMPUS DR, STE 10, PLYMOUTH, MN 55441-2645
(763) 559-2171
(763) 694-9000
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
40498
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
479400100
—
MN
Enumeration date
08/16/2005
Last updated
03/03/2009
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