Individual
PATRICIA ANN VANDEHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
801 N ROCHESTER ST, MUKWONAGO, WI 53149-1142
(262) 363-4001
(262) 363-5699
Mailing address
801 N ROCHESTER ST, MUKWONAGO, WI 53149-1142
(262) 363-4001
(262) 363-5699
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
112496
MN
183500000X
Pharmacist
9494-040
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33104700
—
WI
Enumeration date
02/26/2010
Last updated
02/26/2010
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