Organization
IAM INTEGRATIVE & AESTHETIC MEDICINE, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM C MILLER MD (PRESIDENT)
(415) 866-8757
Entity
Organization
Contact information
Practice address
10602 N PORT WASHINGTON RD, STE. 101, MEQUON, WI 53092-5079
(415) 866-8757
Mailing address
10602 N PORT WASHINGTON RD, STE. 101, MEQUON, WI 53092-5079
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
6702-20
WI
Other
Enumeration date
10/10/2014
Last updated
10/10/2014
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