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Individual

SEMI AYUB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
235 E STATE ST, SAINT CROIX FALLS, WI 54024-4117
(715) 483-3221
(715) 483-0507
Mailing address
235 E STATE ST, SAINT CROIX FALLS, WI 54024-4117
(715) 483-3221
(715) 483-0507

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
53857
MN
207RR0500X
Rheumatology Physician
Primary
55184
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1487825071
MN
05
1487825071
WI
Enumeration date
03/21/2008
Last updated
01/04/2021
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