Individual
SCOTT CHRISTOFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9909 W LOOMIS RD, FRANKLIN, WI 53132-9617
(414) 427-7187
Mailing address
S76W17145 DEER CREEK CT, MUSKEGO, WI 53150-7749
(414) 750-1997
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14239-040
WI
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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