Individual
MEHUL N PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7111 104TH AVE UNIT H, KENOSHA, WI 53142-8302
(262) 914-5735
Mailing address
7111 104TH AVE UNIT H, KENOSHA, WI 53142-8302
(262) 914-5735
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16919-40
WI
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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