Search › Wisconsin › 207Q00000X
Ernesto Bogarin Miranda, M.D
NPI 1376951046 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1520 Madison Ave
Fort Atkinson, WI 53538 - Phone
- (920) 563-5500
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
207R00000X - Licence states on file
- ND, AZ, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-10-07
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