Individual
GLENN E MILLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11583 C AVE, AUBURN, CA 95603-2703
(530) 889-7215
Mailing address
912 VESSONA CIR, FOLSOM, CA 95630-8725
(916) 984-0135
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G12401
CA
Other
Enumeration date
07/25/2006
Last updated
03/07/2023
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