Individual
JOHN W MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10521 N PORT WASHINGTON RD, MEGUON, WI 53092
(262) 241-0398
(262) 241-1368
Mailing address
2323 N MAYFAIR RD, STE 102, MILWAUKEE, WI 53226-1506
(414) 257-1161
(414) 257-0194
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4512015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33735000
—
WI
Enumeration date
03/08/2006
Last updated
06/17/2010
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