Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREA JO POULSON-PORT, M.D.
ActiveANDREA JO POULSON-PORT, M.D. is a Family Medicine healthcare provider located in MANITOWOC, Wisconsin. NPI 1326280611 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MANITOWOC, WI
Registration Details
- NPI Number
- 1326280611
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 1, 2009 (17.375846298563 yrs)
- Last Updated
- Sep 24, 2024
- License
-
56118-20 (WI)
Practice Information
- Address
-
4100 DEWEY STMANITOWOC, WI, 542205497Browse WI providers · Browse ZIP 54220
- Phone
- 9206865700
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in MANITOWOC, WI
| Name | Credential | NPI |
|---|---|---|
| RONALD ANDREW RIMMER | M.D. | 1568414910 |
| PATRICIA J CANTAGALLO | MD | 1326084484 |
| DR. JEFFREY S ALLEN | MD | 1962410514 |
| SHELLY L JOHNSEN | MD | 1922016690 |
| DAVID E AUGUSTINE | M.D. | 1619083185 |
| LAURENCE J VERLINDEN | M.D. | 1255447660 |
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.