Individual
MR. DALE ALAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH.
Contact information
Practice address
2950 ST. HWY. 67, LAKE GENEVA, WI 53147
(262) 245-2319
Mailing address
2569 S 99TH ST, WEST ALLIS, WI 53227-2611
(414) 543-9727
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9343-040
WI
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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