NPI 1134142185

Justin D Miller, MD

Practitioner Otolaryngology Physician Green Bay, WI

Practice location

Address: 923 Eliza St, Green Bay, WI 54301-3234
Phone: (920) 965-4800
Fax: (920) 965-4801
Mailing address: PO Box 22487, Green Bay, WI 54305-2487

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 257426 (NY)

Other Otolaryngology providers in Wisconsin →

Registry record

NPI: 1134142185
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jul 2006
Record last updated: 26 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.