Individual
MS. KRISTIN B MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2350 N LAKE DR, SUITE 206, MILWAUKEE, WI 53211-4528
(414) 298-7280
(414) 298-7281
Mailing address
2350 N LAKE DR, SUITE 206, MILWAUKEE, WI 53211-4528
(414) 298-7280
(414) 298-7281
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2272
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420040000
—
WI
Enumeration date
06/30/2008
Last updated
06/17/2016
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