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Dr. Vasilisa Mironovich, MD
Family Medicine Physician in Portage, Wisconsin
NPI 1295024479

Vasilisa Mironovich is a Family Medicine Physician based in Portage, WI. Vasilisa Mironovich practices in Portage, WI and has the professional credentials of MD. The NPI Number for Vasilisa Mironovich is 1295024479 and holds a License No. 60837-20 (Wisconsin).

The current practice location address for Vasilisa Mironovich is 2817 New Pinery Rd, Portage, WI and can be reached out via phone at 608-742-4131 and via fax at 608-745-6393.

Location: 2817 New Pinery Rd, Portage, WI, 53901-9240
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295024479
Provider Name
Vasilisa Mironovich
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2817 New Pinery Rd, Portage, WI, 53901-9240
Phone Number
608-742-4131
Fax Number
608-745-6393
Provider Enumeration Date
03/28/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2817 New Pinery Rd
City
Portage
State
Wisconsin
Zip
53901-9240
Phone Number
608-742-4131
Fax Number
608-745-6393
person
Provider Business Mailing Address Details
Address
2817 New Pinery Rd
City
Portage
State
Wisconsin
Zip
53901-9240
Phone Number
608-742-4131
Fax Number
608-745-6393
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
60837-20 (Wisconsin)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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