Individual
MARY C SELZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-3431
(817) 927-3603
Mailing address
111 E WISCONSIN AVE, SUITE 2000, MILWAUKEE, WI 53202-4815
(414) 290-6720
(414) 290-6755
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209.008335
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
AP125799
TX
Other
Enumeration date
01/14/2011
Last updated
09/10/2019
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