Individual
MICHAEL MACMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4343 W NEWBERRY RD, SUITE 2, GAINESVILLE, FL 32607-2817
(352) 332-7246
(352) 224-2220
Mailing address
4881 NW 8TH AVE, SUITE 2, GAINESVILLE, FL 32605-4582
(352) 547-2373
(352) 291-0231
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME40587
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045834100
—
FL
01
—
PG589
HF MA
FL
Enumeration date
06/29/2006
Last updated
06/27/2022
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