Individual
MS. MARINA V MISHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904
(920) 303-8700
(920) 303-5632
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 647-6326
(414) 671-8860
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1477-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41963700
—
WI
Enumeration date
08/07/2006
Last updated
03/07/2023
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