Individual
KIAH WESELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4404 WI 70, WEBSTER, WI 54893-8206
(715) 866-8644
Mailing address
23423 BIRCH RD, SIREN, WI 54872-8440
(763) 742-2445
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21344-40
WI
Other
Enumeration date
10/18/2022
Last updated
10/16/2024
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