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Search › Wisconsin › 207Q00000X

Vasilisa Mironovich, M.D

NPI 1295024479 · on the registry since 2011

Practice

Address
2817 New Pinery Rd
Portage, WI 53901
Phone
(608) 742-4131
Fax
(608) 745-6393
Organisation at this address
Derek J Cripps Llc
Portage Radiology, Sc
Stewart F Taylor Jr Md
Divine Savior Healthcare
Dean Health Systems, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
102

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-09-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin