Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. VASILISA MIRONOVICH, M.D.
ActiveDR. VASILISA MIRONOVICH, M.D. is a Family Medicine healthcare provider located in PORTAGE, Wisconsin. NPI 1295024479 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PORTAGE, WI
Registration Details
- NPI Number
- 1295024479
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 28, 2011 (15.377216153172 yrs)
- Last Updated
- Sep 2, 2014
- License
-
60837-20 (WI)
Practice Information
- Address
-
2817 NEW PINERY RDPORTAGE, WI, 539019240Browse WI providers · Browse ZIP 53901
- Phone
- 6087424131
- Fax
- 6087456393
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in PORTAGE, WI
| Name | Credential | NPI |
|---|---|---|
| BRENDA A BLOHM | MD | 1881677011 |
| SUSAN H KRECKMAN | MD | 1376527002 |
| DR. JAMIE JOHN KLING | DO | 1184683310 |
| BEATRIZ SOMOZA-BLANCO | MD | 1598724106 |
| DR. ROBERT A. HENRY JR. | D.O. | 1740240308 |
| SUSAN E PINEDA | MD | 1922061316 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.