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Individual

REBECCA JOY MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
3056 S KINNICKINNIC AVE, MILWAUKEE, WI 53207-2583
(414) 769-4900
Mailing address
3056 S KINNICKINNIC AVE, MILWAUKEE, WI 53207-2583
(414) 769-4900

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
73106
WI
207V00000X
Obstetrics & Gynecology Physician
73106
WI
390200000X
Student in an Organized Health Care Education/Training Program
125070365
IL

Other

Enumeration date
05/23/2017
Last updated
07/21/2022
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