Mrs. Miranda R Dethier, PA-C
Mrs. Miranda R Dethier, PA-C is a Physician Assistant in Menomonee Falls, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2011.
- Licensed in
- WI
- In the registry since
- 2011
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
W165N5595 Creekwood XingMenomonee Falls, WI 53051-0685
Phone: (262) 252-1050
Fax: (262) 525-4781
Show map & directions
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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 2758-23 (WI) |
|---|
Record details
| NPI number | 1760770960 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | July 21, 2011 |
| Last updated in NPPES | June 23, 2026 |
| Certification date | June 23, 2026 |
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