Individual
MIKE JOSEPH MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1707 COLE BLVD STE 100, GOLDEN, CO 80401
(303) 763-4900
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(719) 463-5600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0027594
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01275940
—
CO
01
—
MCA71025
BLUE SHIELD
CO
01
—
P00191831
RAILROAD MEDICARE
—
Enumeration date
02/07/2006
Last updated
03/20/2025
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