Individual
BRUCE L. LAIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
819 ASH ST, SPOONER, WI 54801-1201
(715) 635-2111
(715) 635-2504
Mailing address
N5431 ROCKY RIDGE RD, SPOONER, WI 54801-8498
(715) 635-8312
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8044-040
WI
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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