Individual
DR. JONATHAN ALLAN EGGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
475 TESSERVILLE RD, NEKOOSA, WI 54457-7508
(715) 315-0059
Mailing address
475 TESSERVILLE RD, NEKOOSA, WI 54457-7508
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16880-40
WI
183500000X
Pharmacist
66571
CA
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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