Provider Demographics
NPI:1730471269
Name:MILLIMAN, ARTHUR RICHARD (PH)
Entity type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:RICHARD
Last Name:MILLIMAN
Suffix:
Gender:M
Credentials:PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1125 BRIARCLIFFE DR
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-2102
Mailing Address - Country:US
Mailing Address - Phone:810-732-2554
Mailing Address - Fax:
Practice Address - Street 1:1125 BRIARCLIFFE DR
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-2102
Practice Address - Country:US
Practice Address - Phone:810-732-2554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-02
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302020104183500000X
AZ7747183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist