Individual
MR. DALE W MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6307 W KINNICKINNIC RIVER PKWY, MILWAUKEE, WI 53219-3014
(414) 383-4238
Mailing address
6307 W KINNICKINNIC RIVER PKWY, MILWAUKEE, WI 53219-3014
(414) 383-4238
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
21750 - 31
WI
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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