Pingul, Mia Farida Mediana

Pingul, Mia Farida Mediana is an sole proprietor health care provider with primary practice located at 1000 N Oak Ave , Marshfield WI 54449-5703. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as her primary health care specialty. Pingul, Mia Farida Mediana can be contacted via phone (715) 387-5511.

Contact Information

Primary practice address
1000 N Oak Ave Marshfield WI 54449-5703
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 0101258508 Virginia
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 15279 Wisconsin

Profile Details

NPI number 1851419857
LBN Legal business name Pingul, Mia Farida Mediana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2007
Last updated Jul 8th, 2026 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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