Provider Demographics
NPI:1407012214
Name:MILLIGAN, STEVE ROBERT JR (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVE
Middle Name:ROBERT
Last Name:MILLIGAN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 BURNET AVE
Mailing Address - Street 2:MLC 7009
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3026
Mailing Address - Country:US
Mailing Address - Phone:513-636-7216
Mailing Address - Fax:513-636-8724
Practice Address - Street 1:3333 BURNET AVE
Practice Address - Street 2:MLC 7009
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-3026
Practice Address - Country:US
Practice Address - Phone:513-636-7216
Practice Address - Fax:513-636-8724
Is Sole Proprietor?:No
Enumeration Date:2008-07-31
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.090864208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000589808OtherANTHEM
OHMI4295971Medicare PIN