Individual
JOSEPH W MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1414 N TAYLOR DR, SHEBOYGAN, WI 53081-1988
(920) 476-6300
Mailing address
1414 N. TAYLOR DR., SHEBOYGAN, WI 53081-3090
(920) 476-6300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3805-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942653878
—
WI
Enumeration date
07/15/2016
Last updated
02/06/2024
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