Individual
MATTHEW WILKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3529 SUPERIOR AVE, SHEBOYGAN, WI 53081-1865
(920) 459-2755
Mailing address
N6401 COUNTY ROAD M, SHEBOYGAN FALLS, WI 53085-2201
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20959
WI
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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