Individual
THOMAS IRA MILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
375 BARCLAY CIR, ROCHESTER HILLS, MI 48307-4511
(248) 852-3636
(248) 852-3631
Mailing address
PO BOX 80070, ROCHESTER, MI 48308-0070
(248) 852-3636
(248) 852-3631
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301029452
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10-1064049
—
MI
01
—
180F36432
BLUE CROSS BLUE SHIELD
MI
Enumeration date
06/13/2005
Last updated
07/08/2008
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