Larry Miller, PA

NPI #1427156702 in Marshfield, Wisconsin

Provider Information

NPI Number: 1427156702
Entity Type: Individual
Name: Larry Miller, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Sep 20, 2006
Last Updated: Sep 29, 2009

Practice Location

Address: 1000 N OAK AVE
City: Marshfield
State: Wisconsin
ZIP Code: 54449-5703
Phone: (715) 387-5511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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