Individual
JOHN DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6442 N 76TH ST, MILWAUKEE, WI 53223-6102
(414) 353-5620
Mailing address
1620 RIVERS BND APT 301, WAUWATOSA, WI 53226-3066
(262) 227-0525
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17649-40
WI
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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