Individual
ORLANDO SIERRALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2585 LINEVILLE RD, GREEN BAY, WI 54313-7122
(920) 662-9450
(920) 662-1912
Mailing address
2585 LINEVILLE RD, GREEN BAY, WI 54313-7122
(920) 662-9450
(920) 662-1912
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12254-40
WI
Other
Enumeration date
02/28/2014
Last updated
02/28/2014
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