Individual
DALE A WSZALEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
999 E MAIN ST, WAUPUN, WI 53963-2210
(920) 324-4696
Mailing address
717 LINCOLN ST, RIPON, WI 54971-1620
(920) 748-6008
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
WI11142-040
WI
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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