Miranda Dethier, PA-C

NPI 1760770960 · on the registry since 2011

Practice

Address: W165n5595 Creekwood Xing
Menomonee Falls, WI 53051
Phone: (262) 252-1050
Fax: (262) 525-4781
Organisation at this address: Quad/Med, Llc
Prohealth Medical Group Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-06-23

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