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SUZANNE MARGARET MILETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
101 AIRPORT ROAD, ILIAMNA, AK 99606-9800
(907) 729-8624
Mailing address
4201 TUDOR CENTRE DR, SUITE 320, ANCHORAGE, AK 99508-5904
(907) 729-8624
(907) 729-8607

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
467
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MDA0153
AK
Enumeration date
08/22/2006
Last updated
12/20/2012
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