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NPI Code Detail

MEDICARE: MILLIKEN MEDICAL PLLC

MEDICARE: MILLIKEN MEDICAL PLLC
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
1207R00000XInternal Medicine PhysicianOM85930MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10B81016OTHERMIBCBS

General Provider Information

NPI Number : 1992702567
Entity Type Code : Organization
Provider Name (Legal Business Name) : MILLIKEN MEDICAL PLLC
Provider Business Mailing Address
First Line : 224 CIRCLE DR
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-2342
Country : US
Telephone Number : 231-935-0600
Fax Number : 231-935-0613
Provider Business Practice Location Address
First Line : 224 CIRCLE DR
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-2342
Country : US
Telephone Number : 231-935-0600
Fax Number : 231-935-0613
Authorized Official
Title or Position : PRESIDENT
Name : SARAH R SEAVER
Credential : DO
Telephone Number : 231-932-4880
Provider Enumeration Date : 06/28/2005
Last Update Date : 11/12/2009

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Directions to “MILLIKEN MEDICAL PLLC ” Practice Location

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