Individual
MICKEY HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 907-7239
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18147-40
WI
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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