Individual
MICHAEL KWON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 MILTON AVE, JANESVILLE, WI 53545-0833
(608) 756-0614
Mailing address
1700 MILTON AVE, JANESVILLE, WI 53545-0833
(608) 756-0614
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19972-40
WI
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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