Individual
DANIEL JOHN SOBCZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2950 NEW PINERY RD, PORTAGE, WI 53901-9225
(608) 742-1670
Mailing address
1106 TRAMORE TRL, MADISON, WI 53717-1087
(608) 334-3806
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11038-40
WI
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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