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Individual

DAVID JON MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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