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NPI Code Detail

MEDICARE: DR. KRISTIN L MILLER DO

MEDICARE: DR. KRISTIN L MILLER DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician55333-21WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
261176OTHERWIDEAN HEALTH INSURANCE

General Provider Information

NPI Number : 1124004684
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRISTIN L MILLER DO
Provider Business Mailing Address
First Line : 3400 DEERFIELD DR
Second Line :
City : JANESVILLE
State : WI
Zip : 53546-3557
Country : US
Telephone Number : 608-314-3600
Fax Number : 608-314-3601
Provider Business Practice Location Address
First Line : 3400 DEERFIELD DR
Second Line :
City : JANESVILLE
State : WI
Zip : 53546-3557
Country : US
Telephone Number : 608-314-3600
Fax Number : 608-314-3601
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2005
Last Update Date : 12/16/2013

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