Individual
ANDREW WESOLOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
351 N EDWARDS BLVD, LAKE GENEVA, WI 53147-4563
(262) 248-7885
Mailing address
4707 W MINNESOTA AVE, FRANKLIN, WI 53132-9450
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16512-40
WI
Other
Enumeration date
01/29/2012
Last updated
01/29/2012
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