Individual
DANIEL MATTINGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
180 W PINE ST, PLATTEVILLE, WI 53818-3112
(608) 348-9771
Mailing address
1725 N WATER ST UNIT F, PLATTEVILLE, WI 53818-1434
(608) 348-7798
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10482-40
WI
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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