Individual
CHERYL M MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40963020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12204
DEAN HEALTH PLAN HMO
—
05
—
1619076577
—
WI
Enumeration date
09/21/2006
Last updated
10/19/2011
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