Individual
ANGELA C MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2000
Mailing address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036-092497
IL
208000000X
Pediatrics Physician
Primary
32036
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000258
PHYSICIANS PLUS
—
01
—
10887
DEAN HEALTH PLAN
—
01
—
31715500
HIRSP
—
05
—
31715500
—
WI
01
—
370004380
MEDICARE RAILROAD
—
01
—
390808509
WPS
—
01
—
39080850911
UNITY
—
01
—
390808509AD
UNITY
—
01
—
690004890
MEDICARE RAILROAD
—
01
—
90002361
WEA INS
—
01
—
L90543
MEDICARE
—
Enumeration date
09/12/2006
Last updated
12/23/2020
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