Colin Tolentino Millar, MD | |
1515 Park Ave, Columbus, WI 53925-2402 | |
(920) 623-2200 | |
Not Available |
Full Name | Colin Tolentino Millar |
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Gender | Male |
Speciality | Family Medicine |
Location | 1515 Park Ave, Columbus, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134682016 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 75923-20 (Wisconsin) | Primary |
Entity Name | Prairie Ridge Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154403657 PECOS PAC ID: 6800791484 Enrollment ID: O20040210000777 |
Mailing Address | Practice Location Address |
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Colin Tolentino Millar, MD 1515 Park Ave, Columbus, WI 53925-2402 Ph: () - | Colin Tolentino Millar, MD 1515 Park Ave, Columbus, WI 53925-2402 Ph: (920) 623-2200 |
Dennis A Oeth, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1511 Park Ave, Columbus, WI 53925 Phone: 920-623-5226 | |
Janis E Byrd, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1513 Park Ave, 1st Floor, Columbus, WI 53925 Phone: 920-623-9611 Fax: 920-623-1788 | |
Charles E Hansell, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1513 Park Ave, 1st Floor, Columbus, WI 53925 Phone: 920-623-9611 Fax: 920-623-1788 | |
Elise M Malzer, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1515 Park Ave, Columbus, WI 53925 Phone: 920-623-2200 | |
Thomas Mitchell, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1511 Park Ave, Columbus, WI 53925 Phone: 920-623-0377 Fax: 920-623-5252 | |
Dr. Elizabeth A Larson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1511 Park Ave, Columbus, WI 53925 Phone: 920-623-3040 Fax: 920-623-2244 |