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
2160 S KINNICKINNIC AVE APT 425, MILWAUKEE, WI 53207-1324
(414) 322-6607
(765) 751-2757
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
IN
Other
Enumeration date
11/15/2020
Last updated
08/24/2023
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