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 Chicago, 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.

Location: 4100 Dewey St, Manitowoc, WI, 60673-5044
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, 60673-5044
Phone Number
920-686-5700
Fax Number
Provider Enumeration Date
04/01/2009
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100024879 05 WI
institution
Provider Business Practice Location Address Details
Address
4100 Dewey St
City
State
Zip
54220-5497
Phone Number
920-686-5700
Fax Number
person
Provider Business Mailing Address Details
Address
4100 Dewey St
City
State
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
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.
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