MEDICARE: GARY D MILIUS MD

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
1	207V00000X	Obstetrics & Gynecology Physician	16065	NE

Other Identifiers

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

General Provider Information

NPI Number	:	1740393610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GARY D MILIUS MD

Provider Business Mailing Address
First Line	:	1600 S 48TH ST STE 400
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68506-1275
Country	:	US
Telephone Number	:	402-475-8877
Fax Number	:	402-475-8941

Provider Business Practice Location Address
First Line	:	1600 S 48TH ST STE 400
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68506-1275
Country	:	US
Telephone Number	:	402-475-8877
Fax Number	:	402-475-8941

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2006
Last Update Date	:	07/08/2007

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Directions to “ GARY D MILIUS MD” Practice Location

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