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Individual

BRENTON SEVERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6601 MCKEE RD, MADISON, WI 53719-5023
(608) 848-8285
Mailing address
6601 MCKEE RD, MADISON, WI 53719-5023

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17623-40
WI

Other

Enumeration date
08/10/2014
Last updated
08/10/2014
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