Individual
DR. JOAN L MILOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11211 W LINCOLN AVE, LINCOLN AVENUE CLINIC, WEST ALLIS, WI 53227-1035
(414) 955-5900
(414) 327-7639
Mailing address
11211 W LINCOLN AVE, LINCOLN AVENUE CLINIC, WEST ALLIS, WI 53227-1035
(414) 955-5900
(414) 327-7639
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28404
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000127I
HUMANA
—
05
—
1528010238
—
WI
Enumeration date
05/17/2006
Last updated
10/08/2014
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