Provider Demographics
NPI:1811522600
Name:MILLIKEN, DONALD MACKLEM (MBBS)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:MACKLEM
Last Name:MILLIKEN
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1699 MARKET ST APT 83
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-1237
Mailing Address - Country:US
Mailing Address - Phone:415-510-9824
Mailing Address - Fax:
Practice Address - Street 1:500 PARNASSUS AVENUE
Practice Address - Street 2:UCSF DEPARTMENT OF ANESTHESIA
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0648
Practice Address - Country:US
Practice Address - Phone:415-510-9824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-12
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASPI635207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty