Individual
MARISSA VERONICA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2201 N CAMBRIDGE AVE, MILWAUKEE, WI 53202-1047
(414) 949-1040
Mailing address
777 N JEFFERSON ST STE 408, MILWAUKEE, WI 53202-3875
(414) 949-1040
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
WI
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
03/27/2026
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