Individual
BRIAN MIHELICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
S42W25050 OAK VIEW DR, WAUKESHA, WI 53189-7840
(262) 391-5077
Mailing address
S42 W25050 OAK VIEW DR, WAUKESHA, WI 53189
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12714
WI
Other
Enumeration date
11/19/2011
Last updated
11/19/2011
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