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General NPI Number Information
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NPI Number | 1841350816
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Entity Type | Organization
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Legal Business Name | RICHARD J MILLIGAN MD PC
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 03/08/2014
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Provider Practice Location Address
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Address Line | 5671 N SKEEL AVE
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City | OSCODA
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State | MI
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Zip | 48750-1535
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Country | US
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Telephone | 269-205-2388
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Fax | 269-205-2389
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Provider Business Mailing Address
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Address Line | PO BOX 767
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City | ALPENA
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State | MI
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Zip | 49707-0767
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Country | US
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Telephone | 269-205-2388
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Fax | 269-205-2389
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD J MILLIGAN
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Credential | M.D.
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Telephone | 269-205-2388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 4301037691
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License Number State | MI
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