Miller, David Jon

Miller, David Jon is an individual health care provider with primary practice located at 2845 Greenbrier Rd 1St Floor, Green Bay WI 54311-6519. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Miller, David Jon can be contacted via phone (920) 288-8100.

Contact Information

Primary practice address
2845 Greenbrier Rd 1St Floor Green Bay WI 54311-6519
Phone: (920) 288-8100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301081283 Michigan
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 4301081283 Michigan
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 39675 Wisconsin

Profile Details

NPI number 1780769638
LBN Legal business name Miller, David Jon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Nov 23rd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780769638 NPPES
Michigan MEDICAID 4513935

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