Provider Demographics
NPI:1568664894
Name:S J MILLEN, MD.SC
Entity Type:Organization
Organization Name:S J MILLEN, MD.SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEURO-OTOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:MILLEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:414-529-3215
Mailing Address - Street 1:11035 W FOREST HOME AVE
Mailing Address - Street 2:SUITE 108
Mailing Address - City:HALES CORNERS
Mailing Address - State:WI
Mailing Address - Zip Code:53130-2541
Mailing Address - Country:US
Mailing Address - Phone:414-529-3215
Mailing Address - Fax:414-529-3214
Practice Address - Street 1:11035 W FOREST HOME AVE
Practice Address - Street 2:SUITE 108
Practice Address - City:HALES CORNERS
Practice Address - State:WI
Practice Address - Zip Code:53130-2541
Practice Address - Country:US
Practice Address - Phone:414-529-3215
Practice Address - Fax:414-529-3214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & NeurotologyGroup - Multi-Specialty
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI30251900Medicaid
WIWI 1494Medicare PIN
WI30251900Medicaid
WI000001701Medicare ID - Type UnspecifiedSTEVEN MILLEN