SearchWisconsin207Q00000X

Ninah Divine, MD

NPI 1174104590 · on the registry since 2021

Practice

Address
930 W Historic Mitchell St
Milwaukee, WI 53204
Phone
(414) 383-9526
Fax
(414) 649-2711
Organisation at this address
Gerald L Ignace Indian Dental Center, Llc
Gerald L. Ignace Indian Health Center, Inc.
Gerald L. Ignace Indian Health Center, Inc.
Gerald L. Ignace Indian Health Center, Inc.
Gerald L. Ignace Indian Health Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
34

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-07-21

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