Individual
HEIDI WURTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10424 W BLUEMOUND RD, MILWAUKEE, WI 53226-4331
(414) 244-9844
(414) 877-1104
Mailing address
N66W30637 RED FOX RUN, HARTLAND, WI 53029-9187
(414) 418-6848
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12568-40
WI
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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