Individual
MARINA MICHELLE CALIENDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
507 N 17TH ST, MILWAUKEE, WI 53233
(414) 288-5688
Mailing address
507 N 17TH ST, MILWAUKEE, WI 53233
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/01/2022
Last updated
06/23/2022
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