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Individual

MICHAEL SCOTT OBRIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
1400 BELLINGER ST, EAU CLAIRE, WI 54703-5222
(715) 838-6762
(715) 838-6541
Mailing address
1400 BELLINGER ST, EAU CLAIRE, WI 54703-5222
(715) 838-6762
(715) 838-6541

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10380-40
WI

Other

Enumeration date
12/17/2012
Last updated
12/17/2012
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