Individual
MRS. AMY L GORGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
W180N8085 TOWN HALL RD, MENOMONEE FALLS, WI 53051-3518
(262) 257-3070
Mailing address
W180N8085 TOWN HALL RD, MENOMONEE FALLS, WI 53051-3518
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12178
WI
Other
Enumeration date
07/08/2005
Last updated
07/30/2007
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