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Individual

EARL CLARENCE MILLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
770 W HIGH ST, STE 220, LIMA, OH 45801-5910
(419) 221-3385
(419) 221-3585
Mailing address
770 W HIGH ST, STE 220, LIMA, OH 45801-5910
(419) 221-3385
(419) 221-3585

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
35087909
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000488922
ANTHEM BLUE CROSS & BLUE
OH
01
06322
PARAMOUNT ADVANTAGE
OH
05
2658842
OH
01
7222167
AETNA
OH
01
738777
BUCKEYE COMMUNITY
OH
01
P00331612
RAILROAD MEDICARE
OH
Enumeration date
06/11/2006
Last updated
11/09/2007
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