Individual
MICHAEL NEUWIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4161 2ND ST S, SAINT CLOUD, MN 56301-3761
(320) 253-3280
(320) 253-5790
Mailing address
4161 2ND ST S, SAINT CLOUD, MN 56301-3761
(320) 253-3280
(320) 253-5790
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
114430
MN
Other
Enumeration date
03/29/2014
Last updated
03/29/2014
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