Individual
MICHAEL W MILBOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
805 E WILLOW GROVE AVE, STE C11, GLENSIDE, PA 19038-7968
(215) 966-1546
Mailing address
407 HIGHGATE DR, AMBLER, PA 19002-1559
(215) 966-1546
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD050826
PA
207RC0000X
Cardiovascular Disease Physician
Primary
MD050825L
PA
207UN0901X
Nuclear Cardiology Physician
MD050825L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014939000
—
PA
01
—
0745998000
AMERIHEALTH
PA
01
—
37794MD050825L
HEALTH PARTNERS
PA
01
—
5511627
AETNA PPO
PA
01
—
564071
BSPA
PA
Enumeration date
05/01/2006
Last updated
03/23/2024
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