Individual
REBECCA TULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4102
(715) 847-2283
Mailing address
247 N 14TH AVE, WAUSAU, WI 54401
(715) 223-5851
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2296-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43020700
—
WI
Enumeration date
06/13/2008
Last updated
12/27/2018
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