Individual
BRADLEY W MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
401 W MILL ST, BONDUEL, WI 54107-9246
(715) 758-2167
(715) 758-6701
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7229
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2659
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093846
NATIONAL COMMISSION ON CERTIFIED PHYSICIANS ASSISTANTS
—
Enumeration date
09/14/2010
Last updated
07/30/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us