Provider Demographics
NPI:1245517150
Name:SALAMONSKI, NORBERT MICHAEL (RPH)
Entity type:Individual
Prefix:
First Name:NORBERT
Middle Name:MICHAEL
Last Name:SALAMONSKI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1012 N CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:54449-2152
Mailing Address - Country:US
Mailing Address - Phone:715-384-9703
Mailing Address - Fax:
Practice Address - Street 1:1012 N CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:WI
Practice Address - Zip Code:54449-2152
Practice Address - Country:US
Practice Address - Phone:715-384-9703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-05
Last Update Date:2011-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI13190-40183500000X
IL051-034533183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist