Individual
MR. GARY J KORTHALS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
201 S. WATER ST, SPARTA, WI 54656
(608) 269-2949
(608) 269-3330
Mailing address
201 S. WATER ST, SPARTA, WI 54656
(608) 269-2949
(608) 269-3330
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
10424
WI
183500000X
Pharmacist
Primary
10424-40
WI
Other
Enumeration date
12/16/2009
Last updated
04/11/2017
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