Individual
JACK KUMBALEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 E WALNUT ST, GREEN BAY, WI 54301-5004
(920) 785-5925
Mailing address
816 MARQUETTE AVE, GREEN BAY, WI 54304-2412
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22192-40
WI
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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