Individual
DR. MARY A FORESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
40540-021
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30088400
—
WI
Enumeration date
06/08/2006
Last updated
10/12/2011
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