Individual
DR. EDWARD C MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2434 APACHE CT, JANESVILLE, WI 53545-4352
(608) 359-9061
Mailing address
2434 APACHE CT, JANESVILLE, WI 53545-4352
(608) 359-9061
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
21506
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30170800
—
WI
Enumeration date
11/30/2006
Last updated
01/19/2017
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