Individual
KATHERINE FIACCHINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
N95W17707 SHADY LN, MENOMONEE FALLS, WI 53051-8012
(262) 415-0005
Mailing address
N95W17707 SHADY LN, MENOMONEE FALLS, WI 53051-8012
(262) 415-0005
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17727-40
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3327560
—
WI
Enumeration date
09/25/2014
Last updated
09/25/2014
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