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1093979080
BART J MILLER
GREEN BAY, WI
NPI
1093979080
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 2310)
Enumeration Date
2008-07-18
Last Update Date
2014-12-04
Business Address
-- BART J MILLER PA
704 S WEBSTER AVE STE 100
GREEN BAY, WI 54301-3528
Phone number: 920-433-3456
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Mailing Address
-- BART J MILLER PA
PO BOX 22487
GREEN BAY, WI 54305-2487
Phone number: 920-445-7210
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