MARK J. MILLER RN
NPI 1083983217
Registered Nurse - Medical-Surgical in Fond Du Lac, WI

Active since December 16, 2011
430 E DIVISION ST, FOND DU LAC, WI 54935(920) 929-2300 Get Directions Write a Review

NPPES record last updated: December 16, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mark J. Miller Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK J. MILLER RN (NPI 1083983217) is an individual medical-surgical provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (139193) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1083983217
Entity TypeIndividualMale
Primary Taxonomy163WM0705X
Provider Legal NameMARK J. MILLERCredential: RN
Location Address430 E DIVISION STFond Du Lac, WI 54935-4560
Mailing Address420 E Division StFond Du Lac, WI 54935-4560 · (920) 926-8340
Sole ProprietorNo
Enumeration DateDecember 16, 2011
NPI 1083983217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Medical-SurgicalNursing Service Providers
Taxonomy Code163WM0705X
License Licensed in WI · 139193
430 E DIVISION ST, Fond Du Lac, WI 54935

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
430 E DIVISION ST
FOND DU LAC, WI 54935
Pharmacist (Pharmacotherapy)
430 E DIVISION ST
FOND DU LAC, WI 54935
Specialist/Technologist, Other
430 E DIVISION ST
FOND DU LAC, WI 54935
Emergency Medicine
430 E DIVISION ST
FOND DU LAC, WI 54935
Speech-Language Pathologist
430 E DIVISION ST
FOND DU LAC, WI 54935
Internal Medicine
430 E DIVISION ST
FOND DU LAC, WI 54935
Nurse Practitioner
430 E DIVISION ST
FOND DU LAC, WI 54935
Nurse Anesthetist, Certified Registered
430 E DIVISION ST
FOND DU LAC, WI 54935

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Miller's NPI number?

The NPI number for Mark Miller is 1083983217. It was assigned to this individual provider in the NPPES registry on December 16, 2011.

Where is Mark Miller located?

Mark Miller practices at 430 E Division St, Fond Du Lac, WI 54935. The listed phone number is (920) 929-2300.

What is Mark Miller's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Medical-Surgical, with taxonomy code 163WM0705X.

When was this NPI record last updated?

The NPPES record for Mark Miller was last updated on December 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.