Individual
MR. GENE MAYNARD SKALKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
17624 GERDINE PATH, LAKEVILLE, MN 55044-4474
(612) 964-3180
Mailing address
17624 GERDINE PATH, LAKEVILLE, MN 55044-4474
(612) 964-3180
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
112931
MN
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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