Individual
DR. MICHAEL MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2620 STEWART AVE, SUITE 212, WAUSAU, WI 54401-4170
(715) 842-4440
(715) 842-5977
Mailing address
2620 STEWART AVE, SUITE 212, WAUSAU, WI 54401-4170
(715) 842-4440
(715) 842-5977
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
5001946 - 015
WI
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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