Provider Demographics
NPI:1851418040
Name:MILLIKAN, DANIEL JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:JOHN
Last Name:MILLIKAN
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 1:7721 CORLISS AVE N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-4934
Mailing Address - Country:US
Mailing Address - Phone:603-667-5390
Mailing Address - Fax:
Practice Address - Street 1:1716 W MARINE VIEW DR
Practice Address - Street 2:SUITE #C
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-2098
Practice Address - Country:US
Practice Address - Phone:425-259-0212
Practice Address - Fax:425-259-0209
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD 60158510207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine