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MR. MICHAEL ANTHONY COLETTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1309 N HIGH ST, FORT ATKINSON, WI 53538-1255
(920) 563-6658
(920) 563-0156
Mailing address
505 VALLEY FORGE TRL, ROCKTON, IL 61072-3030
(815) 979-0458

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1397440
WI
183500000X
Pharmacist
2003000291
MO

Other

Enumeration date
04/03/2012
Last updated
04/03/2012
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