Individual
DR. CHAD MICHAEL MENTELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3580 EP TRUE PKWY, WEST DES MOINES, IA 50265-7647
(515) 267-8066
(515) 267-1471
Mailing address
6100 NW 97TH ST, JOHNSTON, IA 50131-2866
(515) 986-5250
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19985
IA
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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