Individual
MARIA CHARLOTTE ALVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9601 TOWNLINE RD, MINOCQUA, WI 54548-9099
(715) 358-1000
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 358-1000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301073363
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4472618
—
MI
01
—
MA073363
BLUE CROSS PIN NUMBER
MI
Enumeration date
09/28/2006
Last updated
12/26/2012
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