Individual
ALEXIS VANDEHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 COUNTY ROAD B, SHAWANO, WI 54166-7072
(920) 203-0630
Mailing address
2897 TRADEWINDS TRL, GREEN BAY, WI 54313-1430
(920) 203-0630
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21025-40
WI
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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