Individual
NICHOLAS LADELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1407 APPLEWOOD CIR, MUKWONAGO, WI 53149-1934
(608) 698-1121
Mailing address
1407 APPLEWOOD CIR, MUKWONAGO, WI 53149-1934
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16377-40
WI
Other
Enumeration date
04/18/2014
Last updated
04/18/2014
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