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Search › Wisconsin › Physician Assistant

Marisa Miller

NPI 1083311534 · on the registry since 2023

Practice

Address
3003 W Good Hope Rd
Glendale, WI 53209
Phone
(414) 352-3100
Clinicians at this address
6

Additional practice sites

  • 10400 75th St, Kenosha, WI
  • 10400 75th St Ste 315, Kenosha, WI

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-04-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin