Individual
SCOTT E MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 E RACINE ST, JANESVILLE, WI 53546-2344
(608) 373-8000
(608) 373-8148
Mailing address
3400 E RACINE ST, JANESVILLE, WI 53546-2344
(608) 373-8000
(608) 373-8148
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
32346-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32078800
—
WI
01
—
60149
DEAN HEALTH INSURANCE
WI
Enumeration date
05/10/2006
Last updated
12/24/2012
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