Individual
ROBERT J MILLICAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2311 WOODBRIDGE CT, SUITE 303, PLOVER, WI 54467
(715) 341-8053
Mailing address
2311 WOODBRIDGE CT, PLOVER, WI 54467-2955
(715) 341-8053
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
28173
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31724700
—
WI
Enumeration date
06/09/2006
Last updated
04/18/2013
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