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Individual

MR. EDWARD DOUGLAS TSAO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
4315 MARTENS ROAD, UNIT 1, EAGLE RIVER, WI 54521-9047
(715) 479-1718
Mailing address
4315 MARTENS RD, UNIT #1, EAGLE RIVER, WI 54521-9047
(715) 479-1718

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
042556
MO
183500000X
Pharmacist
051-038303
IL
183500000X
Pharmacist
12792
WI
183500000X
Pharmacist
15217
NV
183500000X
Pharmacist
Primary
17534
AZ

Other

Enumeration date
03/09/2007
Last updated
10/06/2010
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