Individual
KELLIE JO MILICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
MASKIKI WAAKAAIGAN, 1433 E. FRANKLIN AVENUE SUITE 11 & 13B, MINNEAPOLIS, MN 55404
(612) 874-9128
(612) 874-9128
Mailing address
FOND DU LAC HUMAN SERVICES DIVISION, 927 TRETTEL LANE, CLOQUET, MN 55720
(218) 879-1227
(218) 878-2188
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118954
MN
Other
Enumeration date
11/20/2007
Last updated
09/18/2014
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