Provider Demographics
NPI:1346438140
Name:MILLINER, JOEL ADRIAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:ADRIAN
Last Name:MILLINER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:340 E LEWISTON AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:FERNDALE
Mailing Address - State:MI
Mailing Address - Zip Code:48220-1354
Mailing Address - Country:US
Mailing Address - Phone:313-570-9041
Mailing Address - Fax:248-545-2135
Practice Address - Street 1:340 E LEWISTON AVE
Practice Address - Street 2:SUITE A
Practice Address - City:FERNDALE
Practice Address - State:MI
Practice Address - Zip Code:48220-1354
Practice Address - Country:US
Practice Address - Phone:313-570-9041
Practice Address - Fax:248-545-2135
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-05
Last Update Date:2010-12-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301079083208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice