Individual
DR. BRYAN PRAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
300 STATE HIGHWAY 13, WISCONSIN DELLS, WI 53965-7902
(608) 254-5760
Mailing address
1119 19TH ST, BARABOO, WI 53913-3310
(608) 254-5760
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18485-40
WI
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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