Individual
MS. PATRICIA L. DETERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2613 BLUEBIRD LN, WAUSAU, WI 54401-7171
(715) 842-9563
Mailing address
2613 BLUEBIRD LN, WAUSAU, WI 54401-7171
(715) 842-9563
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9538-40
WI
Other
Enumeration date
05/16/2013
Last updated
05/16/2013
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