Individual
DR. DEBRA L. CIASULLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
50 SHERRY AVE, PARK FALLS, WI 54552-1467
(715) 762-3212
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125063682
IL
207R00000X
Internal Medicine Physician
61100
WI
2084P0800X
Psychiatry Physician
125063682
IL
2084P0800X
Psychiatry Physician
Primary
61100
WI
Other
Enumeration date
08/05/2008
Last updated
10/14/2013
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