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1093375883
MARTIN J MEDINA
MILWAUKEE, WI
NPI
1093375883
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 4693-23)
Enumeration Date
2019-06-14
Last Update Date
2021-11-23
Business Address
MARTIN J MEDINA PA-C
945 N 12TH ST
MILWAUKEE, WI 53233-1305
Phone number: 414-803-2939
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Mailing Address
MARTIN J MEDINA PA-C
945 N 12TH ST
MILWAUKEE, WI 53233-1305
Phone number: 414-219-7956
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