Individual
DR. MATTHEW KLIEFORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
N2345 WEATHERHILL CT, GREENVILLE, WI 54942-8070
(715) 937-3930
Mailing address
1350 W COLLEGE AVE STE A, APPLETON, WI 54914-4974
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19287-40
WI
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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