Provider Demographics
NPI:1639841687
Name:ALAN MILLMAN MD PLLC
Entity Type:Organization
Organization Name:ALAN MILLMAN MD PLLC
Other - Org Name:MILLMAN NEUROLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MILLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-256-5000
Mailing Address - Street 1:6770 DIXIE HIGHWAY
Mailing Address - Street 2:STE 305
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48346-2090
Mailing Address - Country:US
Mailing Address - Phone:248-256-5000
Mailing Address - Fax:248-257-0482
Practice Address - Street 1:6770 DIXIE HIGHWAY
Practice Address - Street 2:STE 305
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48346-2090
Practice Address - Country:US
Practice Address - Phone:248-256-5000
Practice Address - Fax:248-257-0482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-29
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty