Individual
MICHAEL WOLNERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7 SW 56TH ST, DES MOINES, IA 50312-2155
(515) 778-3867
Mailing address
7 SW 56TH STREET, DES MOINES, IA 50312-2155
(515) 778-3867
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051036773
IL
183500000X
Pharmacist
Primary
16958
IA
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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