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1275896946
CHARLES MICHAEL MILLER
APPLETON, WI
NPI
1275896946
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 64435-21)
Enumeration Date
2012-06-19
Last Update Date
2015-08-06
Business Address
-- CHARLES MICHAEL MILLER DO
3329 N RICHMOND ST
APPLETON, WI 54911-1063
Phone number: 920-380-2715
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Mailing Address
-- CHARLES MICHAEL MILLER DO
3329 N RICHMOND ST
APPLETON, WI 54911-1063
Phone number: 920-380-2715
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