Individual
DR. JOHN CHRISTOPHER BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
301 W MAIN ST, WATERTOWN, WI 53094-7629
(920) 206-9588
(920) 206-9702
Mailing address
2602 SWEET SPARROW PL, SUN PRAIRIE, WI 53590-7048
(608) 469-4902
(920) 206-9702
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14367-040
WI
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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