Individual
GLENN J MILOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6611
(608) 756-6177
Mailing address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6611
(608) 756-6177
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-102984
IL
207P00000X
Emergency Medicine Physician
46242-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036102984
—
IL
05
—
036102984 1
—
IL
01
—
1285602516
BCBSWI
WI
05
—
1285602516
—
WI
01
—
MILOSCLE
MERCYCARE INSURANCE
WI
Enumeration date
03/11/2006
Last updated
10/14/2022
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