Theresa Dorice Miller MT

NPI 1972524692 - Specialist - 174400000X

NPI Details
NPI 1972524692
Gender Female
Enumeration Date 07/21/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
8202 EXCELSIOR DR
MADISON WI, 53717-1906, US
Phone (608) 831-1766
Fax
Business Location
1265 JOHN Q HAMMONS DR
MADISON WI, 53717-1941, US
Phone (608) 251-4156
Fax (608) 257-3842
Toxanomy
Taxonomy Code 174400000X
License State Wisconsin
License Number 3310
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According to our database, Theresa Dorice Miller MT NPI is 1972524692, taxonomy code is 174400000X and license number is 3310, license state is located at Wisconsin. Theresa Dorice Miller MT physically located at 8202 Excelsior Dr, Madison WI, 53717-1906. NPI Number Theresa Dorice Miller MT has the Individual type.

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1972524692 NPI number is provided on an as is basis without warranty of any kind. 1972524692 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa Dorice Miller MT are for informational purposes only.