Individual
DAG RIVEDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3201 E LAYTON AVE, CUDAHY, WI 53110-1402
(414) 481-8220
Mailing address
8509 W CASCADE OAKS CT, FRANKLIN, WI 53132-8530
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
1176940
WI
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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