Individual
MR. MICHAEL J PERSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
11270 N PORT WASHINGTON RD, MEQUON, WI 53092-0000
(262) 241-5539
Mailing address
11270 N PORT WASHINGTON RD, MEQUON, WI 53092-0000
(262) 241-5539
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7909-40
WI
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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