Individual
NADINE E MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
200 E RYAN RD, OAK CREEK, WI 53154
(414) 570-4330
Mailing address
200 E RYAN RD, OAK CREEK, WI 53154-4563
(414) 570-4330
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
798-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
798-23
LICENSE
WI
Enumeration date
09/13/2006
Last updated
11/23/2021
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