Individual
SONIA P SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6425 W MEQUON RD, MEQUON, WI 53092-1862
(262) 387-8200
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3166-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100032216
—
WI
Enumeration date
07/29/2013
Last updated
10/02/2024
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