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Individual

JOHN CLIFTON MATTERN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
2700 NEW PINERY RD, PORTAGE, WI 53901-9221
(608) 742-5727
Mailing address
W10426 STATE ROAD 16, PORTAGE, WI 53901-8800
(608) 235-1259

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12821
WI

Other

Enumeration date
09/25/2024
Last updated
09/25/2024
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