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Individual

WILLIAM L MILROTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
318 N 1ST ST, MC CONNELLSBURG, PA 17233-1006
(717) 485-3186
(717) 485-3249
Mailing address
PO BOX 721, MC CONNELLSBURG, PA 17233-0721
(717) 485-3186
(717) 485-3249

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD008223E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000016552
HIGHMARK BLUE SHIELD
PA
05
0006133060002
PA
01
02404100
HIGHMARK BLUECROSS
PA
Enumeration date
07/26/2005
Last updated
04/09/2013
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