Individual
MARK METRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
2626 ROSE ST, LA CROSSE, WI 54603-1616
(608) 781-0791
(608) 781-0846
Mailing address
2626 ROSE ST, LA CROSSE, WI 54603-1616
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10252
WI
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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