Individual
MADISON STANCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
428 WALTON DR, PLYMOUTH, WI 53073-5019
(920) 892-7523
Mailing address
547 N DRIES ST, SAUKVILLE, WI 53080-1707
(262) 949-9649
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21402
WI
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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