Individual
STEPHANIE BUELOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 MILL ST, NEW LONDON, WI 54961-2153
(920) 982-7670
(920) 982-7686
Mailing address
1301 MILL ST, NEW LONDON, WI 54961-2153
(920) 982-7670
(920) 982-7686
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
140103531558828
WI
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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