Individual
RICHARD MESTELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
122 S EAU CLAIRE ST, MONDOVI, WI 54755-1504
(715) 926-4938
Mailing address
1324 W CLAIREMONT AVE STE 3, EAU CLAIRE, WI 54701-6191
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15204
WI
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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