Individual
MICHAEL DAVID STUBENVOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
10578 COUNTRY WALK DR UNIT 27, SISTER BAY, WI 54234-9114
(920) 633-4060
(920) 633-4062
Mailing address
10578 COUNTRY WALK DR UNIT 27, SISTER BAY, WI 54234-9114
(920) 633-4060
(920) 633-4062
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21220-40
WI
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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