Individual
JAMES BERT BASZYNSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
825 W FULTON ST, WAUPACA, WI 54981-1471
(715) 258-9000
Mailing address
N2584 BRITTANY LN, WAUPACA, WI 54981-8300
(715) 281-5443
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9317
WI
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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