Individual
MICHAEL ROBERT MILNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4817
(857) 364-3664
Mailing address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4817
(646) 812-1139
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA1434
MA
363AM0700X
Medical Physician Assistant
Primary
PA1434
MA
Other
Enumeration date
10/27/2009
Last updated
04/18/2014
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