Individual
KATHERINE WOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1511 MAIN ST, BLOOMER, WI 54724-1683
(715) 568-2190
Mailing address
1324 W CLAIREMONT AVE STE 3, EAU CLAIRE, WI 54701-6191
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19091
WI
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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