Provider Demographics
NPI:1578552360
Name:MILLIKEN, WILLIAM J (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:J
Last Name:MILLIKEN
Suffix:
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 1:8010 S COUNTY ROAD 5
Mailing Address - Street 2:CENTERSTONE SUITE 101
Mailing Address - City:WINDSOR
Mailing Address - State:CO
Mailing Address - Zip Code:80528-9002
Mailing Address - Country:US
Mailing Address - Phone:970-377-1300
Mailing Address - Fax:970-377-1314
Practice Address - Street 1:8010 S COUNTY ROAD 5
Practice Address - Street 2:CENTERSTONE SUITE 101
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80528-9002
Practice Address - Country:US
Practice Address - Phone:970-377-1300
Practice Address - Fax:970-377-1314
Is Sole Proprietor?:No
Enumeration Date:2005-10-14
Last Update Date:2009-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO396952083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine