Individual
DR. BEN ROLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2204 UNIVERSITY AVE, GREEN BAY, WI 54302-4511
(920) 469-5516
Mailing address
3052 MAPLE GRV, SUAMICO, WI 54173-8131
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
WI15517-040
WI
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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