Individual
MARK J. SALISZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
W180N11070 RIVER LN, GERMANTOWN, WI 53022-3109
(262) 532-9700
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(262) 532-9700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2938
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100023716
—
WI
Enumeration date
06/15/2012
Last updated
10/31/2023
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