Miller, Douglas Michael

Miller, Douglas Michael is an individual health care provider with primary practice located at 1205 W American Dr , Neenah WI 54956-1405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Miller, Douglas Michael can be contacted via phone (920) 430-8113.

Contact Information

Primary practice address
1205 W American Dr Neenah WI 54956-1405
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 67435 Wisconsin

Profile Details

NPI number 1689966954
LBN Legal business name Miller, Douglas Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2011
Last updated May 3rd, 2022 - about 4 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 1689966954 NPPES
Wisconsin MEDICAID 100070135

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