Individual
DR. MATTHEW HAROLD PROEBSTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
403 STATE ROAD 82, MAUSTON, WI 53948-1402
(608) 847-7814
Mailing address
403 STATE ROAD 82, MAUSTON, WI 53948-1402
(608) 847-7814
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15049-040
WI
Other
Enumeration date
10/24/2011
Last updated
12/14/2011
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