Individual provider · Type 1 NPI

Vasilisa Mironovich, MD

Family Medicine Physician · Portage, WI

NPI number 1295024479 Active

Practice location

2817 New Pinery Rd
Portage, WI 53901-9240

Call (608) 742-4131 Map

Fax (608) 745-6393

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X60837-20 (WI)

Family Medicine Physician: 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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About NPI 1295024479

Vasilisa Mironovich, MD's National Provider Identifier is 1295024479, issued on Mar 28, 2011. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Portage, WI. The record was last updated on Sep 2, 2014.