Individual
MICHELLE CUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25401 75TH ST, SALEM, WI 53168-9527
(262) 843-1550
Mailing address
2851 ACACIA TER, BUFFALO GROVE, IL 60089-6634
(847) 634-0498
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16954-40
WI
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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