IndividualActive
Andrey Mironenko, MD
NPI 1174185292 · Emergency Medicine Physician · Ladysmith, WI
Provider details
- NPI number
- 1174185292
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 76887-20 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1200 Port Arthur Rd
Ladysmith, WI 54848-1137
Phone: (715) 532-2300
Approximate (ZIP-level) locationGet directions
Mailing address
1200 Port Arthur Rd
Ladysmith, WI 54848-1137
Registry dates
- Enumerated
- 2019-06-29
- Last updated
- 2024-02-13
- Certified
- 2024-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.