Individual provider · Type 1 NPI

Marisa K. Miller

Physician Assistant · Glendale, WI

NPI number 1083311534 Active

Practice location

3003 W Good Hope Rd
Glendale, WI 53209-2042

Call (414) 352-3100 Map

Mailing address

PO Box 735044
Chicago, IL 60673-5044

Other practice locations

  • 10400 75th St Ste 315, Kenosha, WI 53142-7884 · (262) 948-7815
  • 10400 75th St, Kenosha, WI 53142-7884 · (262) 948-5600

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X7129-23 (WI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1083311534

Marisa K. Miller's National Provider Identifier is 1083311534, issued on Feb 14, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Glendale, WI. The record was last updated on Apr 20, 2026.