Individual
MICHAEL ANDREW MILLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1932 NILES CORTLAND RD NE STE P, WARREN, OH 44484-1055
(308) 567-7023
(330) 856-1096
Mailing address
3875 TAMARA TRL, HERMITAGE, PA 16148-6161
(724) 983-7970
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34005495
OH
207Q00000X
Family Medicine Physician
Primary
34.005495
OH
207Q00000X
Family Medicine Physician
OS012515
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102552777
—
PA
05
—
2061843
—
OH
01
—
942460636408
CARESOURCE
OH
05
—
M10839692
—
PA
01
—
P00288742
MEDICARE TRAVELERS RR-GA
OH
Enumeration date
06/06/2006
Last updated
11/19/2020
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