Individual
ETAN MAISTELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
N83W15550 APPLETON AVE, MENOMONEE FALLS, WI 53051-3714
(262) 253-5056
Mailing address
N83W15550 APPLETON AVE, MENOMONEE FALLS, WI 53051-3714
(262) 253-5056
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22382
WI
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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