Individual provider · Type 1 NPI

Mark J. Miller, RN

Medical-Surgical Registered Nurse · Fond Du Lac, WI

NPI number 1083983217 Active

Practice location

430 E Division St
Fond Du Lac, WI 54935-4560

Call (920) 929-2300 Map

Mailing address

420 E Division St
Fond Du Lac, WI 54935-4560

Specialties and licenses

TaxonomyCodeLicense
Medical-Surgical Registered Nurse Primary 163WM0705X139193 (WI)

Medical-Surgical Registered Nurse: Definition to come...

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About NPI 1083983217

Mark J. Miller, RN's National Provider Identifier is 1083983217, issued on Dec 16, 2011. The primary taxonomy on file is Medical-Surgical Registered Nurse (163WM0705X), and the practice location is in Fond Du Lac, WI. The record was last updated on Dec 16, 2011.