MRS. MIRANDA DETHIER, PA-C
Physician Assistant
Active
Individual
NPI: 1760770960
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 2758-23 (WI) |
Frequently Asked Questions
NPI 1760770960 is the National Provider Identifier for MRS. MIRANDA DETHIER, PA-C, a Physician Assistant provider located in Jefferson, WI. This NPI was enumerated on July 21, 2011.
MRS. MIRANDA DETHIER, PA-C practices at 840 W RACINE ST, Jefferson, WI 53549.
Quick Facts
- NPI
- 1760770960
- Type
- Individual
- Enumerated
- Jul 21, 2011
- Last Updated
- May 3, 2017
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