Individual provider · Type 1 NPI

Marissa Veronica Medina

Driver · Milwaukee, WI

NPI number 1992580997 Active

Practice location

2201 N Cambridge Ave
Milwaukee, WI 53202-1047

Call (414) 949-1040 Map

Mailing address

777 N Jefferson St Ste 408
Milwaukee, WI 53202-3875

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

2 other providers at this address

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About NPI 1992580997

Marissa Veronica Medina's National Provider Identifier is 1992580997, issued on Aug 28, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Milwaukee, WI. The record was last updated on Mar 27, 2026.