Individual
MR. GREGG WILLIAM WELLNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
N2360 SUMMERVILLE PARK RD, LODI, WI 53555-9621
(847) 682-9133
Mailing address
N2360 SUMMERVILLE PARK RD, LODI, WI 53555-9621
(847) 682-9133
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14705-040
WI
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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