Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ERNESTO BOGARIN MIRANDA, M.D.
Active Sole ProprietorERNESTO BOGARIN MIRANDA, M.D. is a Family Medicine healthcare provider located in FORT ATKINSON, Wisconsin. NPI 1376951046 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · FORT ATKINSON, WI
Registration Details
- NPI Number
- 1376951046
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 25, 2014 (12.054182151236 yrs)
- Last Updated
- Oct 7, 2022
- Licenses
-
RL14696 (ND)R74574 (AZ)73153-20 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1520 MADISON AVEFORT ATKINSON, WI, 535383100Browse WI providers · Browse ZIP 53538
- Phone
- 9205635500
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in FORT ATKINSON, WI
| Name | Credential | NPI |
|---|---|---|
| JOHN P DOERFER | M.D. | 1760466460 |
| BRETT WILSON | DO | 1881662963 |
| GREGORY GEHRED | MD | 1578531711 |
| SHAUNA J MEYER | MD | 1275501405 |
| SCOTT J BRANTMEIER | DO | 1457329526 |
| JEFFREY PATRICK MCGUIRE | MD | 1588624654 |
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.