Individual
MEISHA RAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-3323
Mailing address
2239 ETON RDG, MADISON, WI 53726-5303
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
6102851
WI
207W00000X
Ophthalmology Physician
Primary
68313-21
WI
Other
Enumeration date
03/25/2016
Last updated
08/09/2021
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