Individual
MR. JOHN MICHAEL MILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
340 OXFORD ST, DOVER, OH 44622-1965
(330) 343-0753
Mailing address
340 OXFORD ST, DOVER, OH 44622-1965
(330) 343-0753
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
306142-RN
OH
363LF0000X
Family Nurse Practitioner
Primary
COA 15214-NP
OH
Other
Enumeration date
07/26/2013
Last updated
05/03/2014
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