Individual
MR. GREGORY DOCKTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2909 E WASHINGTON AVE, MADISON, WI 53704-5142
(608) 244-1301
Mailing address
1016 STARLIGHT LN, COTTAGE GROVE, WI 53527-9137
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12155-040
WI
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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