Individual
SHENELL Y MILLER-BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3289 N MAYFAIR RD, WAUWATOSA, WI 53222-3203
(414) 771-7900
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 607-6340
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
46795
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942232186
NPI
WI
05
—
34666900
—
WI
Enumeration date
07/07/2006
Last updated
02/12/2024
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