Individual
KENNETH MILAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3500 LUDINGTON ST STE 110, ESCANABA, MI 49829-4219
(906) 233-0244
Mailing address
3500 LUDINGTON ST STE 110, ESCANABA, MI 49829-4219
(906) 233-0244
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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