Individual
MICHELLE MARIE TE RONDE MANNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6575
Mailing address
W236N3250 WATERSIDE CT, PEWAUKEE, WI 53072-4067
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
051287810
IL
1835P2201X
Ambulatory Care Pharmacist
Primary
13371-040
WI
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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