Individual
MADISON MCMILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-5400
Mailing address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-5400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1236829
NE
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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