Individual
MOHAMED RASEKH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8 S MAIN ST, CLINTONVILLE, WI 54929-1565
(715) 823-2222
Mailing address
1345 N 59TH ST, MILWAUKEE, WI 53208-2141
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17417-40
WI
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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