Individual
SONIA MILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8200
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8340
(920) 926-8370
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
613
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43848500
—
WI
01
—
500008511
RAILROAD MEDICARE
WI
Enumeration date
11/15/2005
Last updated
03/03/2016
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