Individual
DIANA ODAGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
628 2ND ST, CHETEK, WI 54728-2808
(715) 924-3592
Mailing address
1324 W CLAIREMONT AVE STE 3, EAU CLAIRE, WI 54701-6191
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14692
WI
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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