Individual
STEPHANIE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4815 BAUTISTA DR, MC FARLAND, WI 53558-8737
(608) 921-9118
Mailing address
1015 N WILLARD AVE, JANESVILLE, WI 53548-2353
(608) 921-9118
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
222786
WI
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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