Individual
SUSAN GILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
2430 E MASON ST, GREEN BAY, WI 54302-3759
(920) 468-6044
Mailing address
2430 E MASON ST, GREEN BAY, WI 54302-3759
(920) 468-6044
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14993-040
WI
Other
Enumeration date
05/27/2013
Last updated
05/27/2013
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