Individual
PAUL R MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
104 YORK ST, BEAVER DAM, WI 53916-2020
(715) 821-2003
Mailing address
104 YORK ST, BEAVER DAM, WI 53916-2020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33717
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31828400
—
WI
Enumeration date
08/30/2005
Last updated
04/16/2026
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