Individual
MARY CALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
W3275 WOLF RIVER ROAD, MENOMINEE TRIBAL CLINIC, KESHENA, WI 54135-0970
(715) 799-3361
(715) 799-3099
Mailing address
PO BOX 970, MENOMINEE TRIBAL CLINIC, KESHENA, WI 54135-0970
(715) 799-3361
(715) 799-3099
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
56810-020
WI
Other
Enumeration date
12/01/2008
Last updated
09/28/2012
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