Individual provider · Type 1 NPI

Ninah Divine, MD

Family Medicine Physician · Milwaukee, WI

NPI number 1174104590 Active

Practice location

930 W Historic Mitchell St
Milwaukee, WI 53204-3533

Call (414) 383-9526 Map

Fax (414) 649-2711

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X84297-20 (WI)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1174104590

Ninah Divine, MD's National Provider Identifier is 1174104590, issued on Apr 16, 2021. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Milwaukee, WI. The record was last updated on Jul 21, 2025.