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Individual

DR. MARK GORDON REGNIER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
10 TRI PARK WAY, APPLETON, WI 54914-1658
(920) 831-0070
Mailing address
966 EVERGREEN LN, NEENAH, WI 54956-4968
(920) 751-0070

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
115369-7
MN
1835P1200X
Pharmacotherapy Pharmacist
Primary
12035-040
WI

Other

Enumeration date
05/31/2006
Last updated
07/08/2007
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