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Individual

MR. JEFFREY G. MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
A.P.N.P.

Contact information

Practice address
1155 N MAYFAIR RD, DEPARTMENT OF PSYCHIATRY, MILWAUKEE, WI 53226-3462
(414) 955-8900
(414) 955-6285
Mailing address
1155 N MAYFAIR RD, DEPARTMENT OF PSYCHIATRY, MILWAUKEE, WI 53226-3462
(414) 955-8900
(414) 955-6285

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
541
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1457440919
WI
05
39405100
WI
01
S47871
UPIN NUMBER
WI
Enumeration date
10/12/2006
Last updated
10/17/2012
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