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MARY E MILLER MD
NPI 1356411292
Family Medicine in Lake Mills, WI

Active since November 08, 2006
200 E TYRANENA PARK RD, LAKE MILLS, WI 53551(920) 648-3113(920) 648-3656 Get Directions Write a Review

NPPES record last updated: July 31, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary E Miller Md NPPES

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

MARY E MILLER MD (NPI 1356411292) is an individual family medicine provider in Lake Mills, Wisconsin, licensed in Wisconsin (50074-20) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1356411292
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARY E MILLERCredential: MD
Location Address200 E TYRANENA PARK RDLake Mills, WI 53551-9678
Mailing Address200 E Tyranena Park RdLake Mills, WI 53551-9678 · (920) 648-3113 · Fax (920) 648-3656
Phone(920) 648-3113
Fax(920) 648-3656
Sole ProprietorNo
Enumeration DateNovember 8, 2006
Last NPPES UpdateJuly 31, 2012
✔ NPI 1356411292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WI · 50074-20✔ Licensed in WI · 50074-020✔ Licensed in MI · 4301070306
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
200 E TYRANENA PARK RD, Lake Mills, WI 53551
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Other Identifiers 5

Medicaid34759800WI
Medicaid118658200WY
Medicare UPINH14794MI
Medicare ID-Type Unspecified9744WY
Medicare PIN007430345WI

Other Providers at the Same Location NPPES 15

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

MR. BRIAN JOSEPH MEITNER L.A.T.
Specialist/Technologist (Athletic Trainer)
200 E TYRANENA PARK RD
LAKE MILLS, WI 53551
Jefferson County (920) 648-8170
MRS. KATHRYN ANNE KIDD PT
Physical Therapist
200 E TYRANENA PARK RD
LAKE MILLS, WI 53551
Jefferson County (920) 648-8170
KRISTEN LANAE WICHMAN OTR
Occupational Therapist
200 E TYRANENA PARK RD
LAKE MILLS, WI 53551
Jefferson County (920) 648-8170
MS. MINDY J WADE OTR
Occupational Therapist
200 E TYRANENA PARK RD
LAKE MILLS, WI 53551
Jefferson County (920) 648-8170
MS. NANCY SHEA LCSW
Social Worker (Clinical)
200 E TYRANENA PARK RD
LAKE MILLS, WI 53551
Jefferson County (920) 648-8393
DR. VERONICA REJON MD
Family Medicine
200 E TYRANENA PARK RD
LAKE MILLS, WI 53551
Jefferson County (920) 648-8393
JENNIFER MICHELE PHILBIN MD
Family Medicine
200 E TYRANENA PARK RD
LAKE MILLS, WI 53551
Jefferson County (920) 648-8393
BRIDGET A. HALBERSMA NP,APNP
Nurse Practitioner (Family)
200 E TYRANENA PARK RD
LAKE MILLS, WI 53551
Jefferson County (920) 648-8393

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 Mary Miller's NPI number?

The NPI number for Mary Miller is 1356411292. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Mary Miller located?

Mary Miller practices at 200 E Tyranena Park Rd, Lake Mills, WI 53551. The listed phone number is (920) 648-3113.

What is Mary Miller's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mary Miller was last updated on July 31, 2012. 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.