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Individual

CHINTAN BRAHMBHATT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4301 W WISCONSIN AVE, SUITE 42 (T-0238), APPLETON, WI 54913-8605
(920) 243-7877
(920) 243-7878
Mailing address
4301 W WISCONSIN AVE, SUITE 42 (T-0238), APPLETON, WI 54913-8605
(920) 243-7877
(920) 243-7878

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16924-40
WI

Other

Enumeration date
10/22/2012
Last updated
10/22/2012
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