Individual
DR. MARJORIE S. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
143 S GIBSON ST, MEDFORD, WI 54451-1622
(715) 748-2121
Mailing address
225811 BAYVIEW DR, WISCONSIN RAPIDS, WI 54494-4714
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35406
WI
208600000X
Surgery Physician
Primary
44424
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487687604
—
WI
05
—
34220700
—
WI
Enumeration date
07/09/2006
Last updated
12/28/2023
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