Individual
MS. TASHA MARIE GLEASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
902 E 1ST ST, MERRILL, WI 54452-2508
(715) 203-5730
Mailing address
902 E 1ST ST, MERRILL, WI 54452-2508
(715) 203-5730
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
—
—
Other
Enumeration date
06/05/2019
Last updated
11/29/2023
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