CHARLES MICHAEL MILLER

APPLETON, WI
NPI1275896946
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  64435-21)
Enumeration Date2012-06-19
Last Update Date2015-08-06
Business Address
-- CHARLES MICHAEL MILLER DO
3329 N RICHMOND ST
APPLETON, WI 54911-1063
Phone number: 920-380-2715
Mailing Address
-- CHARLES MICHAEL MILLER DO
3329 N RICHMOND ST
APPLETON, WI 54911-1063
Phone number: 920-380-2715