Individual
DALE E MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8939
Mailing address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8939
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25160-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1036
DEAN HEALTH INSURANCE
WI
05
—
30516600
—
WI
Enumeration date
06/06/2006
Last updated
05/06/2014
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