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Individual

DR. ALEX GLOUDEMANS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3330 E CALUMET ST, APPLETON, WI 54915-4127
(920) 733-3016
Mailing address
419 S SIDNEY ST, KIMBERLY, WI 54136-1960

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17089-40
WI

Other

Enumeration date
07/23/2013
Last updated
02/04/2014
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