Individual
NATHAN EDELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2415 STATE RD, LA CROSSE, WI 54601-6137
(608) 788-0803
Mailing address
843 OAK AVE N, ONALASKA, WI 54650-2468
(920) 858-0898
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
16860-40
WI
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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