Individual
DR. MATTHEW STANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D., BCPS
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-2690
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
15726-040
WI
1835P1200X
Pharmacotherapy Pharmacist
Primary
15726-040
WI
Other
Enumeration date
03/13/2012
Last updated
02/16/2013
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