Individual
LESLIE ANKLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
220 S 18TH AVE, WAUSAU, WI 54401-4221
(715) 842-3541
Mailing address
226032 BAYVIEW DR, WAUSAU, WI 54401-6687
(715) 359-3999
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14440-40
WI
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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