Individual
DR. DANIEL EUGENE MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
575 KELLY ST, HALF MOON BAY, CA 94019-1719
(650) 560-0216
(650) 295-0397
Mailing address
575 KELLY ST, HALF MOON BAY, CA 94019-1719
(650) 560-0216
(650) 295-0397
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C53201
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26402025
—
NM
Enumeration date
06/30/2006
Last updated
06/13/2012
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