Individual
MICHAEL MILOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3111 ELECTRIC AVE, PORT HURON, MI 48060-8127
(810) 966-2593
Mailing address
5868 N BOB WHITE DR, KIMBALL, MI 48074-4610
(810) 956-8040
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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