Individual
JOHN F. MILLIKEN JR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., FAAP
Contact information
Practice address
1068 UNION ST, BANGOR, ME 04401
(207) 947-0147
(207) 990-3365
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 945-5247
(207) 947-0435
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
012273
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
322490099
—
ME
Enumeration date
09/13/2006
Last updated
11/18/2011
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