Zuhlke, Miranda Kathryn

Zuhlke, Miranda Kathryn is an individual health care provider with primary practice located at 700 S Park St , Madison WI 53715-1830. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Zuhlke, Miranda Kathryn can be contacted via phone (608) 258-6504.

Contact Information

Primary practice address
700 S Park St Madison WI 53715-1830
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4133-23 Wisconsin

Profile Details

NPI number 1962927939
LBN Legal business name Zuhlke, Miranda Kathryn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2017
Last updated Jan 26th, 2023 - about 2 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962927939 NPPES
Wisconsin MEDICAID 100073271

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