Individual
DR. JACK R MILLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
766 S STATE ST, DOVER, DE 19904-4146
(302) 735-7730
(302) 735-4911
Mailing address
766 S STATE ST, DOVER, DE 19901-4146
(302) 735-7730
(302) 735-4911
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C10005866
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001019401
—
DE
Enumeration date
03/09/2006
Last updated
01/05/2011
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