SearchWisconsin251B00000X

Miranda Porter

NPI 1407467350 · on the registry since 2020 · sole proprietor

Practice

Address
4760 N 22nd St
Milwaukee, WI 53209
Phone
(414) 460-8392

Registry record

Primary taxonomy
251B00000X
251B00000X
Sex
Female
Record last updated
2020-08-13

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