MRS. MIRANDA R DETHIER, PA-C
Physician Assistant at Racine St, Jefferson, WI

License number
Wisconsin 2758-23
Category
Nursing
Type
Physician Assistant
Address
Address 2
840 W Racine St, Jefferson, WI 53549
PO Box 249, Fort Atkinson, WI 53538
Phone
(920) 674-6000
(920) 674-3034 (Fax)
(920) 568-5411
(920) 568-4004 (Fax)
National Provider ID: 1760770960
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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