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ERNESTO BOGARIN MIRANDA, M.D.

M.D.

Family Medicine Physician

NPI: 1376951046IndividualAccepts Medicare

Specialties, Licenses & Credentials

Family Medicine PhysicianPrimary

Family Medicine

Code: 207Q00000X

RL14696(ND)73153-20(WI)
Internal Medicine Physician

Internal Medicine

Code: 207R00000X

R74574(AZ)

CMS Specialties

PrimaryFAMILY PRACTICE

Education

UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE

Class of 2014

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Contact & Hours

Address
1520 MADISON AVE
FORT ATKINSON, WI 53538

Quick Facts

NPI
1376951046
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
3
Locations
1
Years in Practice
12

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