Individual
MATTHEW MICHAEL ANSAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
635 MAIN ST, GREEN BAY, WI 54301-4918
(920) 437-0206
Mailing address
635 MAIN ST, GREEN BAY, WI 54301-4918
(920) 437-0206
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17987-40
WI
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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