Individual
MRS. JOELLE DOMINIQUE MILLIKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2315 8TH ST, LEWISTON, ID 83501-7301
(082) 746-1383
(833) 941-3874
Mailing address
2315 8TH ST, LEWISTON, ID 83501-7301
(208) 298-3094
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
62870
WI
207R00000X
Internal Medicine Physician
Primary
MC-2784
ID
207R00000X
Internal Medicine Physician
MD162386
OR
Other
Enumeration date
05/25/2010
Last updated
09/23/2024
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