Individual
TAMARA L MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
CREST WELLNESS CENTER, UNIVERSITY OF WISCONSIN:EAU CLAIRE, EAU CLAIRE, WI 54701-6101
(715) 836-4311
Mailing address
333 MCKINLEY AVE, EAU CLAIRE, WI 54701-4814
(715) 833-9515
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1937
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41971200
—
WI
Enumeration date
05/22/2006
Last updated
08/01/2013
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