Individual
JANET MARIE MILLERMAIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
25 CONRAN DRIVE, SUITE B, COOPERSVILLE, MI 49504-1366
(616) 267-7860
(616) 267-7861
Mailing address
100 MICHIGAN STREET NE MC 845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301066454
MI
207Q00000X
Family Medicine Physician
55461-20
WI
Other
Enumeration date
08/25/2006
Last updated
07/06/2023
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