Individual
ELIZABETH S. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 MAPLE AVE, PROHEALTH CARE MEDICAL ASSOCIATES INC., MUKWONAGO, WI 53149-8475
(262) 928-1900
(262) 363-1949
Mailing address
240 MAPLE AVE, PROHEALTH CARE MEDICAL ASSOCIATES INC., MUKWONAGO, WI 53149-8475
(262) 928-1900
(262) 363-1949
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
33568
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32129800
—
WI
Enumeration date
02/10/2006
Last updated
04/19/2012
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