Individual
JASON PETER CUENY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
200 E HIGHWAY 64, ANTIGO, WI 54409
(715) 627-1636
Mailing address
200 EAST HIGHWAY 64, ANTIGO, WI 54409
(715) 627-1636
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17198-40
WI
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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