Individual
HENRY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3300 W COLLEGE AVE, APPLETON, WI 54914-3920
(920) 830-4100
Mailing address
3417 SHEPPARD DR, OSHKOSH, WI 54904-6917
(414) 852-3537
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001059-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2022
Last updated
08/04/2022
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