Individual
MR. MATTHEW JOHN FERNHOLZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4344 MORMON COULEE RD, LA CROSSE, WI 54601-7908
(608) 188-8860
(608) 788-5790
Mailing address
4344 MORMON COULEE RD, LA CROSSE, WI 54601-7908
(608) 188-8860
(608) 788-5790
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12167-40
WI
Other
Enumeration date
06/22/2013
Last updated
06/22/2013
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