Individual
DAVID JON MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2845 GREENBRIER RD, 1ST FLOOR, GREEN BAY, WI 54311-6519
(920) 288-8100
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301081283
MI
207RI0200X
Infectious Disease Physician
Primary
39675
WI
207RI0200X
Infectious Disease Physician
4301081283
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32472800
—
WI
05
—
4513935
—
MI
Enumeration date
10/26/2006
Last updated
07/22/2024
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