Individual
MR. KENT JAMES UDULUTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1584 S PONDEROSA DR, STEVENS POINT, WI 54482-8635
(715) 845-8279
Mailing address
1584 S PONDEROSA DR, STEVENS POINT, WI 54482-8635
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11427-40
WI
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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