Individual
PAUL FRIEDERICHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
907 FOXLAND PL, WEST BEND, WI 53095-5532
(414) 587-3160
Mailing address
N63W37924 BURTONWOOD DR, OCONOMOWOC, WI 53066-1715
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7488
WI
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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