Individual
MRS. JULIE ANN WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
230 MADISON ST, WAUKESHA, WI 53188-5148
(262) 542-9935
Mailing address
1108 N BREENS BAY RD, OCONOMOWOC, WI 53066-8724
(262) 646-5252
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12129
WI
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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