Individual
DR. COLTON FUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2727 S 130TH ST, NEW BERLIN, WI 53151-4033
(920) 960-6056
Mailing address
15205 W GREENFIELD AVE, NEW BERLIN, WI 53151-1519
(262) 796-2734
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19414
WI
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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