Individual
ANDREW J MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS,MD
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449
(715) 387-5511
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
(608) 250-1384
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
70622-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699822403
—
WI
Enumeration date
01/04/2007
Last updated
04/25/2024
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