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ANDREA POULSON-PORT, M.D.
M.D.
Family Medicine Physician
NPI: 1326280611Individual
Specialties, Licenses & Credentials
Family Medicine PhysicianPrimary
Family Medicine
Code: 207Q00000X
56118-20(WI)
CMS Specialties
PrimaryFAMILY PRACTICE
Education
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Class of 2009
Contact & Hours
- Address
- 4100 DEWEY ST
MANITOWOC, WI 54220 - Phone
- (920) 686-5700
Quick Facts
- NPI
- 1326280611
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 17
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