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Individual

MARJORIE SALEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2600 N MAYFAIR RD STE 1120, WAUWATOSA, WI 53226
(414) 453-7780
(414) 456-4296
Mailing address
2600 N MAYFAIR RD STE 1120, WAUWATOSA, WI 53226-1308
(414) 453-7780
(414) 456-4296

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8994-33
WI

Other

Enumeration date
03/17/2016
Last updated
04/26/2019
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