Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary E Miller, MD

Individual provider Family Medicine Physician · NPI 1356411292

Mary E Miller, MD is a Family Medicine Physician in Lake Mills, Wisconsin. Licensed in Michigan and Wisconsin. Registered with an NPI since 2006.

Licensed in
MI, WI
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 E Tyranena Park Rd
Lake Mills, WI 53551-9678
Phone: (920) 648-3113
Fax: (920) 648-3656
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Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 50074-20 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 4301070306 (MI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 50074-020 (WI)

Record details

NPI number1356411292
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 8, 2006
Last updated in NPPESJuly 31, 2012
Mailing address200 E Tyranena Park Rd, Lake Mills, WI 53551-9678

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