Individual
DAWN M MILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
400 S BLAIRSFERRY XING, HIAWATHA, IA 52233-7986
(319) 393-0783
(319) 393-0427
Mailing address
400 S BLAIRSFERRY XING, HIAWATHA, IA 52233-7986
(319) 393-0783
(319) 393-0427
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001472
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PO00004955
RR MEDICARE
IA
Enumeration date
01/06/2006
Last updated
02/25/2008
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