Individual
MARY-CLARE PIONTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
744 SOUTH WEBSTER AVE, GREEN BAY, WI 54305-3400
(920) 431-5696
(920) 431-5677
Mailing address
122 NOB HILL LANE, DEPERE, WI 54115
(920) 337-9638
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0009843-040
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33233700
—
WI
Enumeration date
06/22/2006
Last updated
07/08/2007
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