Provider Demographics
NPI:1053931980
Name:MCMILLAN, DAVID ALLEN (DO)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:ALLEN
Last Name:MCMILLAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:983040 NEBRASKA MEDICAL CENTER
Mailing Address - Street 2:GRADUATE MEDICAL EDUCATION OFFICE
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-3040
Mailing Address - Country:US
Mailing Address - Phone:402-559-8501
Mailing Address - Fax:719-595-7589
Practice Address - Street 1:983040 NEBRASKA MEDICAL CENTER
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-3040
Practice Address - Country:US
Practice Address - Phone:402-559-8501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-21
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE9543207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology