Individual
DR. DOUGLAS MICHAEL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1205 W AMERICAN DR, NEENAH, WI 54956-1405
(920) 430-8113
Mailing address
2223 LIME KILN RD STE 1, GREEN BAY, WI 54311-6213
(920) 430-8113
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
67435
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100070135
—
WI
Enumeration date
05/05/2011
Last updated
05/03/2022
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