Individual
MICHAEL DEETS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 HOSPITAL RD, EAGLE RIVER, WI 54521-8835
(715) 479-0228
Mailing address
1529 FAWN LAKE RD, SAINT GERMAIN, WI 54558-9723
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10323-040
WI
Other
Enumeration date
06/02/2006
Last updated
07/08/2007
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