Individual
PAUL R. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
W180N11070 RIVER LN, GERMANTOWN, WI 53022-3109
(262) 532-9700
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
36354
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32117800
—
WI
01
—
P00452800
RR MEDICARE
WI
Enumeration date
07/04/2006
Last updated
07/10/2024
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