Individual
JALEN EVAN MCMARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
808 S DULUTH AVE, STURGEON BAY, WI 54235-3807
(920) 746-5245
Mailing address
702 ROCKSHIRE DR, JANESVILLE, WI 53546-3314
(608) 322-5941
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20371-40
WI
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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