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Individual

DR. SAMUEL LYMON MILLIGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
710 PARK PLACE, MISHAWAKA, IN 46545-3519
(574) 273-6787
(574) 968-0882
Mailing address
250 E DAY RD, SUITE 300, MISHAWAKA, IN 46545-3471
(574) 273-6787
(574) 968-0882

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
01024383
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100326470A
IN
Enumeration date
07/22/2005
Last updated
03/19/2013
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