Individual
DR. MICHAEL MILLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1404 EASTLAND DR., SUITE 101, BLOOMINGTON, IL 61701
(309) 663-4711
Mailing address
208 GRANDVIEW DR., NORMAL, IL 61761
(309) 454-5890
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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