Individual
MARIAM BUKKY SALISU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1900
(570) 326-8457
(570) 326-7989
Mailing address
1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1900
(570) 326-8723
(570) 326-8922
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD471881
PA
207T00000X
Neurological Surgery Physician
25MA11723900
NJ
2086S0129X
Vascular Surgery Physician
25MA11723900
NJ
Other
Enumeration date
04/13/2015
Last updated
01/07/2025
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