Marisa K. Miller

Physician Assistant · Glendale, WI

Individual Active NPI

NPI number 1083311534

Practice location

3003 W Good Hope Rd
Glendale, WI 53209-2042
Phone
(414) 352-3100

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NPI record

NPI
1083311534
Entity type
Individual (Type 1)
Enumeration date
February 14, 2023
Last updated
April 20, 2026
Certified
April 20, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 7129-23 WI

Mailing address

PO Box 735044
Chicago, IL 60673-5044
Phone
(800) 326-2250

Other practice locations (2)

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

About Marisa Miller

Marisa K. Miller is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 3003 W Good Hope Rd, Glendale, WI 53209-2042. The NPI number 1083311534 was assigned on February 14, 2023 and the record was last updated on April 20, 2026.

Marisa Miller lists a license in the registry: #7129-23 (WI) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Marisa K. Miller?

The NPI number is 1083311534.

What is the phone number of Marisa Miller?

The phone number listed for the practice location is (414) 352-3100.

Where is Marisa Miller located?

3003 W Good Hope Rd, Glendale, WI 53209-2042.

What is the taxonomy code for Marisa Miller?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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