Individual
MIRANDA KATHRYN ZUHLKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 258-6504
Mailing address
3818 COUNTRY GROVE DR, MADISON, WI 53719-5210
(608) 726-0116
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4133-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100073271
—
WI
Enumeration date
08/10/2017
Last updated
01/26/2023
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