Individual
DR. WILLIAM BLACK MCMILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 N PORTER AVE, MEDICAL STAFF OFFICE, NORMAN, OK 73071-6404
(412) 308-6456
Mailing address
901 N. PORTER AVE., MEDICAL STAFF OFFICE, NORMAN, OK 73070-1308
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD035193L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD035193L
PA STATE MEDICAL LICENSE
PA
Enumeration date
07/09/2006
Last updated
04/26/2012
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