Individual
MR. JOHN MICHAEL MILBURN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.N.P.
Contact information
Practice address
450 W MAPLE ST STE 1, HARTVILLE, OH 44632-9649
(330) 882-8343
Mailing address
242 E MILLTOWN RD, WOOSTER, OH 44691-1246
(330) 422-3028
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN341255
OH
363LF0000X
Family Nurse Practitioner
Primary
COA15213
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0104160
—
OH
Enumeration date
07/24/2013
Last updated
08/05/2019
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