Individual
MRS. MIGNON MARIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP/A
Contact information
Practice address
2705 ENLOE ST, HUDSON, WI 54016-8173
(715) 386-2128
(715) 386-6119
Mailing address
1314 COUNTY ROAD V, HUDSON, WI 54016-6710
(715) 549-9144
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2499
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15665
HEALTH PARTNERS
—
05
—
42563700
—
WI
01
—
4600765
MEDICA
—
01
—
641671046996
PREFERRED ONE
—
01
—
7189025
AETNA
—
01
—
98G78MI
MN BCBS
MN
Enumeration date
09/27/2006
Last updated
07/09/2007
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