Individual
MASON BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
800 MAIN AVE, DE PERE, WI 54115-1335
(920) 336-6373
Mailing address
800 MAIN AVE, DE PERE, WI 54115-1335
(920) 336-6373
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21429
WI
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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