Individual
MICHELLE MONTESINOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1995 MAIN ST, GREEN BAY, WI 54302-3920
(920) 465-6210
Mailing address
1995 MAIN ST, GREEN BAY, WI 54302-3920
(920) 465-6210
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23045-40
WI
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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