Individual
ANNA MIRER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD, MPH
Contact information
Practice address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 352-3100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7256
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100160235
—
WI
Enumeration date
03/23/2018
Last updated
04/21/2022
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