Miah Marie Ford
Miah Marie Ford is a Physician Assistant in Milwaukee, Wisconsin. Qualified in 2023, 3 years ago. Practices with North Iowa Mercy Clinics, a 300-clinician group and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 3
- Licensed in
- WI
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
945 N 12th StMilwaukee, WI 53233-1305
Phone: (414) 219-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 7645-23 (WI) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1891422937 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 8, 2022 |
| Last updated in NPPES | April 25, 2024 |
| Certification date | April 25, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | North Iowa Mercy Clinics — 300 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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