Individual
DR. ANNETTE ROSE MILLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
831 S WYNN RD, OREGON, OH 43616-3527
(419) 693-0793
Mailing address
831 S WYNN RD, OREGON, OH 43616-3527
(419) 693-0793
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036174560
IL
207Q00000X
Family Medicine Physician
Primary
067198
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0198129
—
OH
05
—
3810027507
—
WV
Enumeration date
06/07/2006
Last updated
06/17/2025
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