Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301106860 | MI |
N | 111NI0900X | Internist | 4301106860 | MI |
N | 207R00000X | Internist | ME107334 | FL |
N | 111NI0900X | Internist | ME107334 | FL |
Y | 207RI0200X | Infectious Disease | 4301106860 | MI |
NPI | 1033311287 |
---|---|
Provider Name | John Peter Mills |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48109-5352 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2007 |
Last Update Date | 09/12/2021 |