Female

Dr. Heather A. Miller AU.D.

Full Name

Dr. Heather Ann Petersohn Miller AU.D.

NPI Number

1780748269

NPI Type

Individual Provider

Gender

Female

Enumeration Date

12/20/2006

Specialties

(Taxonomies)

Licenses

State

Wisconsin

License Number

355-156

Contact
Information

Purpose

Mailing
Location

Address

6308 8TH AVE
6308 8TH AVE

City

Kenosha
Kenosha

State

WI
WI

Postal Code

53143-5031
53143-5031

Country

US
US

Telephone Number

(262) 656-3300
(262) 656-3300

Identifiers

Identifier

41140100

Identifier State

WI

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address