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Individual

MICKEY O MILLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6400 MARLBORO PIKE, UPPER LEVEL, DISTRICT HEIGHTS, MD 20747
(301) 736-7000
(301) 736-6916
Mailing address
6400 MARLBORO PIKE, UPPER LEVEL, DISTRICT HEIGHTS, MD 20747
(301) 736-7000
(301) 736-6916

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D61073
MD

Other

Enumeration date
07/06/2005
Last updated
11/18/2010
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