Ernesto Bogarin Miranda, M.D.
NPI #1376951046 in Fort Atkinson, Wisconsin
Provider Information
- NPI Number
- 1376951046
- Entity Type
- Individual
- Name
- Ernesto Bogarin Miranda, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Credential
- M.D.
- Enumeration Date
- Jul 25, 2014
- Last Updated
- Oct 7, 2022
Practice Location
- Address
- 1520 MADISON AVE
- City
- Fort Atkinson
- State
- Wisconsin
- ZIP Code
- 53538-3100
- Phone
- (920) 563-5500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Internal Medicine |
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