Individual
MARYRUTH GARCIA SALAZAR-TIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
301 RIVER STREET, OSCEOLA, WI 54020
(715) 294-2116
(715) 294-2943
Mailing address
301 RIVER STREET, PO BOX 218, OSCEOLA, WI 54020
(715) 294-2116
(715) 294-2943
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
42789
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34024700
—
WI
01
—
42789
MEDICAL LICENSE
WI
Enumeration date
08/29/2006
Last updated
07/08/2007
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