Individual
KAREN HEINTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14555 W NATIONAL AVE, NEW BERLIN, WI 53151-4494
(262) 882-7906
Mailing address
14555 W NATIONAL AVE, NEW BERLIN, WI 53151-4494
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11931-40
WI
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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