Individual
MR. BLAIN E. NYBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
9601 TOWNLINE RD, MINOCQUA, WI 54548-9099
(715) 358-1217
(715) 358-1183
Mailing address
9601 TOWNLINE RD, MINOCQUA, WI 54548-9099
(715) 358-1217
(715) 358-1183
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9584-040
WI
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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