Individual
WILL DANIEL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
355 E ASH AVE, DECATUR, IL 62526-6136
(217) 450-9826
(217) 717-2346
Mailing address
355 E ASH AVE, DECATUR, IL 62526-6136
(217) 450-9826
(217) 717-2346
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005212
IL
Other
Enumeration date
09/11/2014
Last updated
09/26/2022
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