Individual
MEREDITH KATHERINE HUMISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
532
WI
367H00000X
Anesthesiologist Assistant
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100245124
—
WI
Enumeration date
11/15/2020
Last updated
07/20/2026
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