Individual
MICHAEL R MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3055 HUBERTUS RD, HUBERTUS, WI 53033
(262) 628-9000
(262) 628-7255
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31901
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31761300
—
WI
01
—
P00941490
RR MEDICARE
WI
Enumeration date
07/07/2006
Last updated
12/03/2025
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