Individual
JAMES GRAWN MILLIKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
419 S CORAL ST, KALKASKA, MI 49646-2503
(231) 258-7777
(231) 258-7786
Mailing address
224 CIRCLE DR, TRAVERSE CITY, MI 49684-2342
(231) 932-4903
(231) 935-0613
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
4301039405
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4154079
—
MI
Enumeration date
06/30/2005
Last updated
08/13/2024
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