Individual
HEATHER L MISKULIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
635 MAIN ST, GREEN BAY, WI 54301-4918
(920) 437-0206
(920) 437-0276
Mailing address
3546 BROOKSIDE DR, PULASKI, WI 54162-9748
(920) 819-6572
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13929-40
WI
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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