Individual
KATHRYN E TISDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6930
Mailing address
6250 SPUR RD APT 201, MEQUON, WI 53092-4280
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23504
WI
Other
Enumeration date
07/09/2026
Last updated
07/09/2026
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