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Individual

DAVID E MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1531 S MADISON ST, APPLETON, WI 54915
(920) 996-3700
Mailing address
1531 S MADISON ST, APPLETON, WI 54915
(920) 996-3700

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
935
WI
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
935
WI
213ES0103X
Foot & Ankle Surgery Podiatrist
SC004777R
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43242800
WI
Enumeration date
03/16/2006
Last updated
05/14/2019
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