Individual
MANPREET S RAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1029 N 14TH ST, SHEBOYGAN, WI 53081-3813
(920) 458-7707
Mailing address
1182 BLOOMFIELD DR, STREAMWOOD, IL 60107-2613
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19640-40
WI
Other
Enumeration date
02/22/2020
Last updated
02/22/2020
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