Individual
MR. JONATHAN B MILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6701 AIRPORT BLVD, SUITE B 218, MOBILE, AL 36608-6776
(251) 633-3617
(251) 633-9330
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
18506
MS
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
7939
AL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD.7939
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000039400
—
AL
05
—
00018252
—
MS
Enumeration date
08/25/2005
Last updated
10/16/2014
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