Individual
ALONZO ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5702 RAYMOND RD, MADISON, WI 53711-4232
(608) 278-8037
Mailing address
5702 RAYMOND RD, MADISON, WI 53711-4232
(608) 278-8037
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.305298
IL
183500000X
Pharmacist
Primary
21512-40
WI
Other
Enumeration date
12/23/2022
Last updated
06/06/2023
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