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Individual

MR. JOHN MICAHEL CANEPA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
13111 N PORT WASHINGTON RD, MEQUON, WI 53097-2416
(262) 243-8381
(262) 243-7590
Mailing address
13111 N PORT WASHINGTON RD, MEQUON, WI 53097-2416
(262) 243-8381
(262) 243-7590

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11058
WI

Other

Enumeration date
02/01/2013
Last updated
02/01/2013
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