Individual
MICHELLE M PERANTONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
7540 22ND AVE, KENOSHA, WI 53143-5702
(262) 605-3674
Mailing address
7540 22ND AVE, KENOSHA, WI 53143-5702
(262) 605-3674
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14786-40
WI
Other
Enumeration date
10/05/2006
Last updated
07/28/2008
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