Individual
MR. LAWRENCE J MIHALEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1029 N 14TH ST, SHEBOYGAN, WI 53081-3813
(920) 458-7707
Mailing address
4051 COUNTRY MEADOWS DR, SHEBOYGAN, WI 53083-2580
(319) 217-8494
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
15828
IA
183500000X
Pharmacist
Primary
16165-040
WI
Other
Enumeration date
12/15/2010
Last updated
01/11/2012
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