person
Mrs. Melissa N Miller, PA-C
Medical Physician Assistant in Appleton, Wisconsin
NPI 1649588914

Melissa N Miller is a Medical Physician Assistant based in Appleton, WI and is specialized in Medical. Melissa N Miller practices in Appleton, WI and has the professional credentials of PA-C. The NPI Number for Melissa N Miller is 1649588914 and holds a License No. 085003857 (Wisconsin).

The current practice location address for Melissa N Miller is 2809 N Park Drive Ln, Appleton, WI and can be reached out via phone at 920-380-4999.

Location: 2809 N Park Drive Ln, Appleton, WI, 54911-1603
person
Provider Profile Details
NPI Number
1649588914
Provider Name
Melissa N Miller
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2809 N Park Drive Ln, Appleton, WI, 54911-1603
Phone Number
920-380-4999
Fax Number
Provider Enumeration Date
09/20/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10115176 01 IL BCBSIL GROUP
363502461001 01 IL TRICARE
769380 01 IL MEDICARE GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
2809 N Park Drive Ln
City
State
Zip
54911-1603
Phone Number
920-380-4999
Fax Number
person
Provider Business Mailing Address Details
Address
2809 N Park Drive Ln
City
State
Zip
54911-1603
Phone Number
920-380-4999
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
085003857 (Illinois)
Definition
Definition to come...
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