| Doctor Name: | MICHAEL W MILBOURNE |
| NPI Number: | 1255399366 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD050825L |
| Business Practice Address: | 805 E Willow Grove Ave Ste C11 Glenside, PA - 190387968 |
| Business Phone Number: | 2159661546 |
| Business Fax Number: | |
| Mailing Address: | 407 Highgate Dr, AMBLER |
| State: | PA |
| Postal Code: | 190021559 |
| Phone Number: | 2159661546 |
| Fax Number: | |
| NPI Enumeration Date: | 05/01/2006 |
| NPI Last Update Date: | 06/08/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207UN0901X |
| License Number: | MD050825L |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Nuclear Medicine |
| Taxonomy Specialization: | Nuclear Cardiology |
| Taxonomy Definition: | A nuclear medicine physician who specializes in nuclear cardiology. |