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Individual

PATRICIA KOLBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2300 WESTERN AVE, MANITOWOC, WI 54220-3712
(920) 320-3004
Mailing address
2300 WESTERN AVE, MANITOWOC, WI 54220-3712
(920) 320-3004

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17960-40
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33112700
WI
Enumeration date
08/30/2016
Last updated
08/30/2016
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