Individual
KELSEY GRANZOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1133 N MAIN ST, VIROQUA, WI 54665-1162
(608) 637-8514
Mailing address
1133 N MAIN ST, VIROQUA, WI 54665-1162
(608) 637-8514
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22289-40
WI
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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