Individual
DR. AMY LOUISE MATTILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 LAKE SHORE DR E, ASHLAND, WI 54806-2421
(715) 682-3660
(715) 685-9941
Mailing address
200 GARY RD, WASHBURN, WI 54891-5402
(715) 685-8102
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11406
WI
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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