Individual
MICHAEL KUCKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
405 W 8TH ST, MONROE, WI 53566-1063
(608) 325-3310
Mailing address
5012 N RINK RD, LENA, IL 61048-9579
(815) 238-6861
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-037966
IL
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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