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Individual

MR. JERALD JOSEPH PERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1284 N SUMMIT AVE, SUITE 100, OCONOMOWOC, WI 53066-4459
(262) 569-8204
(262) 569-8215
Mailing address
1284 N SUMMIT AVE, SUITE 100, OCONOMOWOC, WI 53066-4459
(262) 569-8204
(262) 569-8215

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11766-040
WI

Other

Enumeration date
11/05/2013
Last updated
11/05/2013
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