Physician Assistant
Mrs. MIRANDA DETHIER PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1760770960 · enumerated 2011-07-21 · record updated 2026-06-23. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: MIRANDA GORDY
Addresses and phones
- Mailing address 470 E RED PINE CIR, DOUSMAN, WI, 53118-8828 (608) 921-8334 Google Maps Apple Maps OpenStreetMap
- Practice location W165N5595 CREEKWOOD XING, MENOMONEE FALLS, WI, 53051-0685 (262) 252-1050 Fax (262) 525-4781 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License 2758-23 WI
In this directory
Locations and evidence
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Practice location
MENOMONEE FALLS, WI, 530510685
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.