Individual
STEPHANIE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
W1902 STATE HWY 64, MARINETTE, WI 54143
(715) 923-5903
Mailing address
N3776 R2 LN, WALLACE, MI 49893
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
319329
WI
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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