Individual
DR. JORDAN MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2902 HARVEY ST, MADISON, WI 53705-3504
(714) 869-4555
Mailing address
2902 HARVEY ST, MADISON, WI 53705-3504
(714) 869-4555
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
64173-21
WI
207QA0401X
Addiction Medicine (Family Medicine) Physician
64173-21
WI
Other
Enumeration date
06/13/2012
Last updated
11/29/2021
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