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NPI Code Detail

MEDICARE: GLENN J MILOS DO

MEDICARE: GLENN J MILOS 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
1207P00000XEmergency Medicine Physician46242-21WI
2207P00000XEmergency Medicine Physician036-102984IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MILOSCLEOTHERWIMERCYCARE INSURANCE
21285602516OTHERWIBCBSWI
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285602516
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLENN J MILOS DO
Provider Business Mailing Address
First Line : 1000 MINERAL POINT AVE
Second Line :
City : JANESVILLE
State : WI
Zip : 53548-2940
Country : US
Telephone Number : 608-756-6611
Fax Number : 608-756-6177
Provider Business Practice Location Address
First Line : 1000 MINERAL POINT AVE
Second Line :
City : JANESVILLE
State : WI
Zip : 53548-2940
Country : US
Telephone Number : 608-756-6611
Fax Number : 608-756-6177
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2006
Last Update Date : 10/14/2022

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Directions to “ GLENN J MILOS DO” Practice Location

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