Organization
BRUCE MILLMAN, D.O., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE IAN MILLMAN D.O. (PHYSICIAN)
(248) 965-4165
Entity
Organization
Contact information
Practice address
141 E 14 MILE RD, CLAWSON, MI 48017-2171
(248) 965-4165
(248) 592-7387
Mailing address
141 E 14 MILE RD, CLAWSON, MI 48017-2171
(248) 965-4165
(248) 592-7387
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
BM012972
MI
207RP1001X
Pulmonary Disease Physician
Primary
5101012972
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14395
MCARE
MI
01
—
2956312664
BCBS
—
05
—
4711548
—
MI
01
—
GROUP PTAN IS MI5981
MEDICARE WPS WISCONSIN FOR MICHIGAN
MI
01
—
H57094
HAP
—
01
—
P00241562
RAILROAD MEDICARE
—
01
—
PTAN GROUP DT6533
MEDICARE RAILROAD
—
01
—
PTAN INDIVI MI591001
MEDICARE WPS WISCONSIN FOR MICHIGAN
MI
Enumeration date
03/22/2012
Last updated
09/17/2025
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