Individual
CONNOR JAMES HUMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
N86W12999 NIGHTINGALE WAY, MENOMONEE FALLS, WI 53051-2102
(414) 454-4734
Mailing address
556 N 61ST ST, WAUWATOSA, WI 53213-4166
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
21250-40
WI
Other
Enumeration date
04/20/2020
Last updated
03/09/2022
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