Individual
CHARLES D MILLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
365 S CROWN HILL RD, ORRVILLE, OH 44667-9527
(330) 682-3075
(330) 682-7454
Mailing address
365 S CROWN HILL RD, ORRVILLE, OH 44667-9527
(330) 682-3075
(330) 682-7454
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
34002743
OH
207Q00000X
Family Medicine Physician
Primary
34002743
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000127744
ANTHEM
OH
05
—
00443765
—
OH
01
—
020488800
FEDERAL BLACK LUNG
OH
01
—
341131413C
AULTCARE
OH
01
—
565
SUMMACARE
OH
Enumeration date
12/22/2005
Last updated
12/09/2013
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