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: July 19, 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
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

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.

Physical Therapist
200 E TYRANENA PARK RD
LAKE MILLS, WI 53551
Occupational Therapist
200 E TYRANENA PARK RD
LAKE MILLS, WI 53551
Occupational Therapist
200 E TYRANENA PARK RD
LAKE MILLS, WI 53551
Specialist/Technologist (Athletic Trainer)
200 E TYRANENA PARK RD
LAKE MILLS, WI 53551
Physical Therapy Assistant
200 E TYRANENA PARK RD
LAKE MILLS, WI 53551
Occupational Therapist
200 E TYRANENA PARK RD
LAKE MILLS, WI 53551
Physical Therapist
200 E TYRANENA PARK RD
LAKE MILLS, WI 53551
Speech-Language Pathologist
200 E TYRANENA PARK RD
LAKE MILLS, WI 53551

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356411292, enumerated as an "individual" on November 08, 2006.

The provider is located at 200 E TYRANENA PARK RD LAKE MILLS, WI 53551 and the phone number is (920) 648-3113.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.