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)Name
Code
231HA2400X
231HA2500X
231H00000X
237600000X
Primary Taxonomy
No
No
No
No
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