Individual
DAVID INSERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
108 W WALL ST, EAGLE RIVER, WI 54521-9811
(715) 479-1069
Mailing address
108 W WALL ST, EAGLE RIVER, WI 54521-9811
(715) 479-1069
(715) 479-1370
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
051297939
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
361924025
—
WI
Enumeration date
09/07/2022
Last updated
09/07/2022
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