location
search-icon
person
Andrea Jo Poulson-port, MD
Family Medicine Physician in Manitowoc, Wisconsin
NPI 1326280611

Andrea Jo Poulson-port is a Family Medicine Physician based in Manitowoc, WI. Andrea Jo Poulson-port practices in Manitowoc, WI and has the professional credentials of MD. The NPI Number for Andrea Jo Poulson-port is 1326280611 and holds a License No. 56118-20 (Wisconsin).

The current practice location address for Andrea Jo Poulson-port is 4100 Dewey St, Manitowoc, WI and can be reached out via phone at 920-686-5700. You can also correspond with Andrea Jo Poulson-port through the mailing address at 4100 DEWEY ST, MANITOWOC, WI - 54220-5497 (mailing address contact number: 920-686-5700).

Location: 4100 Dewey St, Manitowoc, WI, 54220-5497
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326280611
Provider Name
Andrea Jo Poulson-port
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4100 Dewey St, Manitowoc, WI, 54220-5497
Phone Number
920-686-5700
Fax Number
Provider Enumeration Date
04/01/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4100 Dewey St
City
Manitowoc
State
Wisconsin
Zip
54220-5497
Phone Number
920-686-5700
Fax Number
person
Provider Business Mailing Address Details
Address
4100 Dewey St
City
Manitowoc
State
Wisconsin
Zip
54220-5497
Phone Number
920-686-5700
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
56118-20 (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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.