Individual
DR. MICHAEL B MILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6021
(617) 730-0147
Mailing address
300 LONGWOOD AVENUE, CHILDREN'S HOSPITAL, HUNNEWELL 213, BOSTON, MA 02115
(617) 355-6773
(617) 730-0147
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
36894
MA
207XP3100X
Pediatric Orthopaedic Surgery Physician
36894
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2059231
—
MA
Enumeration date
06/30/2006
Last updated
10/10/2012
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