Individual
NINAH DIVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
930 W HISTORIC MITCHELL ST, MILWAUKEE, WI 53204-3533
(414) 383-9526
(414) 649-2711
Mailing address
930 W HISTORIC MITCHELL ST, MILWAUKEE, WI 53204-3533
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
84297-20
WI
Other
Enumeration date
04/16/2021
Last updated
07/21/2025
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