Individual
JONATHAN CHARLES BADGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3701 E CALUMET ST, APPLETON, WI 54915-4149
(920) 996-0746
Mailing address
955 N MUTUAL WAY, APPLETON, WI 54913-8415
(920) 954-6400
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15914-040
WI
Other
Enumeration date
05/01/2014
Last updated
03/06/2015
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