Individual
MEREDITH A LEGREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY, SUITE 840, MILWAUKEE, WI 53215-3669
(414) 649-3776
(414) 643-1588
Mailing address
2801 W KINNICKINNIC RIVER PKWY, SUITE 840, MILWAUKEE, WI 53215-3669
(414) 649-3776
(414) 643-1588
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1998
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093966178
—
WI
Enumeration date
07/07/2006
Last updated
03/26/2015
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