Individual
MR. TAIT DAVID WAEGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
3310 CALUMET AVE, MANITOWOC, WI 54220-5426
(920) 320-4400
(920) 320-4444
Mailing address
N241 CTY HWY AB, DENMARK, WI 54208
(920) 776-1109
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13085-040
WI
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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