Individual
DR. EVELYN MOORE MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
900 ILLINOIS AVE, STEVENS POINT, WI 54481-3114
(715) 346-5000
Mailing address
900 ILLINOIS AVE, STEVENS POINT, WI 54481-3114
(715) 346-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036.142223
IL
207P00000X
Emergency Medicine Physician
Primary
18169-875
WI
207P00000X
Emergency Medicine Physician
240152
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02779697
—
NY
01
—
1881628550
BCBS NY EXCELLUS
NY
01
—
204491209
BLUE SHIELD
NY
Enumeration date
07/10/2006
Last updated
03/17/2018
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