| Dr Robert Newell Miller Iv, MD | |
|
11101 N Sherman Rd, Edgerton, WI 53534-9002 | |
| (608) 884-1600 | |
| Not Available |
| Full Name | Dr Robert Newell Miller Iv |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine - Emergency Medical Services |
| Location | 11101 N Sherman Rd, Edgerton, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528099876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 54201-020 (Wisconsin) | Primary |
| Entity Name | Edgerton Hospital and Health Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154350049 PECOS PAC ID: 7719874502 Enrollment ID: O20040304000743 |
| Entity Name | Edgerton Hospital and Health Services, Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1154350049 PECOS PAC ID: 7719874502 Enrollment ID: O20110318000342 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Newell Miller Iv, MD 11101 N Sherman Rd, Edgerton, WI 53534-9002 Ph: (608) 884-1600 | Dr Robert Newell Miller Iv, MD 11101 N Sherman Rd, Edgerton, WI 53534-9002 Ph: (608) 884-1600 |
Dr. Joshua A Mou, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 11101 N Sherman Rd, Edgerton, WI 53534 Phone: 608-884-1695 |