Individual
JAMES TETEAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2575 MAIN ST, CROSS PLAINS, WI 53528-9691
(608) 798-4003
Mailing address
2575 MAIN ST, CROSS PLAINS, WI 53528-9691
(608) 798-4003
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12679-40
WI
Other
Enumeration date
09/25/2011
Last updated
09/25/2011
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