Individual
MARIANNE ELIZABETH COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25401 75TH ST, SALEM, WI 53168-9527
(262) 843-1550
Mailing address
414 TORREY PINES DR, TWIN LAKES, WI 53181-9528
(262) 877-3673
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11928
WI
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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