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Individual

CHRISTOPHER D MILAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1320 E M 32, GAYLORD, MI 49735-8378
(989) 731-5092
(989) 731-7639
Mailing address
PO BOX 2219, GAYLORD, MI 49734-2219
(989) 731-5092
(989) 731-7639

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101010067
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0856900944
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/27/2006
Last updated
07/08/2007
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