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Individual

GREG J MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1687 E DIVISION ST, RIVER FALLS, WI 54022-1571
(715) 425-6701
(715) 425-7075
Mailing address
1120 PINE ST, STANLEY, WI 54768-1297
(715) 644-5571

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
42670-20
WI
207Q00000X
Family Medicine Physician
Primary
42670020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34032100
WI
Enumeration date
08/30/2005
Last updated
11/05/2021
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