Individual
MARISSA LEE HUENINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 W PIONEER RD, FOND DU LAC, WI 54935-6152
(920) 907-0556
Mailing address
PO BOX 9, BRANDON, WI 53919-0009
(920) 418-5573
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22306-40
WI
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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