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Individual

DR. CARSON S KLUG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-7455
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-7455

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
123030
MN
183500000X
Pharmacist
22740
IA
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1003337023
NPI
MN
Enumeration date
12/28/2017
Last updated
04/07/2026
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