Individual
GARY M MILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
70 S CLEVELAND AVE, WESTERVILLE, OH 43081-1397
(614) 890-6555
(614) 823-8881
Mailing address
70 S CLEVELAND AVE, WESTERVILLE, OH 43081-1397
(614) 890-6555
(614) 823-8881
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
34007634
OH
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
34.007634
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0697974
GROUP MEDICAID
OH
05
—
2252404
—
OH
01
—
SP9213471
GROUP MEDICARE
OH
Enumeration date
11/29/2005
Last updated
11/18/2021
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