Individual
DR. DEVIN THADDEUS MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
749 UNIVERSITY ROW STE 200, MADISON, WI 53705-1465
(608) 263-6400
Mailing address
749 UNIVERSITY ROW STE 200, MADISON, WI 53705-1465
(608) 263-6400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A198977
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83147-20
REGULAR MEDICAL LICENSE
WI
Enumeration date
11/26/2018
Last updated
05/13/2025
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