Individual
DANIEL REBHOLZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 PLOVER RD, PLOVER, WI 54467-3978
(715) 342-9368
Mailing address
1800 PLOVER RD, PLOVER, WI 54467-3978
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.286252
IL
183500000X
Pharmacist
Primary
13222-40
WI
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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