Individual
MEGHAN MADELYN MARIE HUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8901 W LINCOLN AVE, WEST ALLIS, WI 53227-2409
(414) 328-7950
Mailing address
8901 W LINCOLN AVE, WEST ALLIS, WI 53227-2409
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
74840-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
66542
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2016
Last updated
12/10/2021
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