Individual
CHARLES EDWARD PAYNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1425 EAST HWY 151, PLATTEVILLE, WI 53818
(608) 348-6577
Mailing address
1425 EAST HWY 151, PLATTEVILLE, WI 53818
(608) 348-6577
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9229-40
WI
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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