Individual
MICHAEL HATCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3977 OAK AVE, WEST BEND, WI 53095-9241
(262) 644-5704
Mailing address
3977 OAK AVE, WEST BEND, WI 53095-9241
(262) 644-5704
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8175-40
WI
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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