Individual
MR. DONALD S MAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
W1859 COUNTY HIGHWAY B, STONE LAKE, WI 54876-8002
(715) 865-4910
Mailing address
W1859 COUNTY HIGHWAY B, STONE LAKE, WI 54876-8002
(715) 865-4910
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
8505-040
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8505-040
PHARMACIST LICENSE NUMBER
WI
Enumeration date
05/23/2007
Last updated
07/08/2007
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