Individual
MITCHELL ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 KILEY WAY, PLYMOUTH, WI 53073-5020
(920) 893-1442
Mailing address
2600 KILEY WAY # 100, PLYMOUTH, WI 53073-5020
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1631240
WI
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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