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Individual

GARY MICHAEL KAMPMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6501
(414) 805-6513
Mailing address
15100 W CLEVELAND AVE APT 67, NEW BERLIN, WI 53151-3754

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8181
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33209900
WI
Enumeration date
04/12/2007
Last updated
07/08/2007
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