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Individual

MEL ESSELMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5595 HIGHWAY Z, WEST BEND, WI 53095-9224
(262) 306-2140
(262) 306-2141
Mailing address
5595 HIGHWAY Z, WEST BEND, WI 53095-9224
(262) 306-2140
(262) 306-2141

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8448-40
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8448-40
WISCONSIN PHARMACIST LICENSE
WI
Enumeration date
03/30/2016
Last updated
03/30/2016
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