Individual
STEPHEN MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 578-5880
(859) 578-5881
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 578-5880
(859) 578-5881
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
35.141989
OH
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
58409
KY
207P00000X
Emergency Medicine Physician
P8700
TX
2086S0102X
Surgical Critical Care Physician
58409
KY
Other
Enumeration date
06/28/2010
Last updated
04/25/2024
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