Individual
MR. MICHAEL H GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
N83W15701 APPLETON AVE, MENOMONEE FALLS, WI 53051-3042
(262) 251-3890
Mailing address
N26W22519 OAKWOOD LN, WAUKESHA, WI 53186-1081
(262) 542-5306
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8717-40
WI
183500000X
Pharmacist
S016578
AZ
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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