Individual
DR. JON MICHAEL MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
0310 COUNTY ROAD 14, DEL NORTE, CO 81132-8719
(719) 657-2510
(719) 657-4106
Mailing address
0310 COUNTY ROAD 14, DEL NORTE, CO 81132-8719
(719) 657-2510
(719) 657-4106
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
32259
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01322593
—
CO
01
—
CL7708
MEDICARE GROUP PTAN
CO
01
—
CO300309
MEDICARE PTAN
CO
Enumeration date
12/01/2005
Last updated
04/26/2026
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