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Individual

RANDALL E. MILLIKAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
400 E 3RD ST, ESSENTIA HEALTH DULUTH CLINIC, DULUTH, MN 55805-1951
(218) 786-3625
Mailing address
400 E 3RD ST, ESSENTIA HEALTH DULUTH CLINIC, DULUTH, MN 55805-1951
(218) 786-3625

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
106535
MN
207RX0202X
Medical Oncology Physician
J7095
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41364301
TX
Enumeration date
09/27/2006
Last updated
01/04/2013
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