| Mary E Miller, MD | |
|
200 E Tyranena Park Rd, Lake Mills, WI 53551-9678 | |
| (920) 648-3113 | |
| (920) 648-3656 |
| Full Name | Mary E Miller |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 200 E Tyranena Park Rd, Lake Mills, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356411292 | NPI | - | NPPES |
| 34759800 | Medicaid | WI | |
| 118658200 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301070306 (Michigan) | Secondary |
| 207Q00000X | Family Medicine | 50074-020 (Wisconsin) | Secondary |
| 207Q00000X | Family Medicine | 50074-20 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary E Miller, MD 200 E Tyranena Park Rd, Lake Mills, WI 53551-9678 Ph: (920) 648-3113 | Mary E Miller, MD 200 E Tyranena Park Rd, Lake Mills, WI 53551-9678 Ph: (920) 648-3113 |
Dr. Veronica Rejon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 E Tyranena Park Rd, Lake Mills, WI 53551 Phone: 920-648-8393 | |
Jennifer Michele Philbin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 E Tyranena Park Rd, Lake Mills, WI 53551 Phone: 920-648-8393 Fax: 920-648-3656 |