Individual
KELLY SCHUESSLER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
595 COUNTY TRUNK R, DENMARK, WI 54208
(920) 863-5800
Mailing address
1376 S OVERLAND RD, DE PERE, WI 54115-9006
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12341
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33230400
—
WI
Enumeration date
01/27/2006
Last updated
07/08/2007
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