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Individual

DR. DOUGLAS MICHAEL MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

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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