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Individual

AMY L MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
W168N11237 WESTERN AVE, GERMANTOWN, WI 53022-3239
(262) 253-5060
Mailing address
W168N11237 WESTERN AVE, GERMANTOWN, WI 53022-3239
(262) 253-5060

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46243
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34502100
WI
Enumeration date
02/14/2006
Last updated
01/27/2014
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