Individual
JUDY L DUMERMUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
598 LUCAS LANE, ELLSWORTH, WI 54011-0207
(715) 273-4278
(715) 273-4326
Mailing address
598 LUCAS LANE, ELLSWORTH, WI 54011-0207
(715) 273-4278
(715) 273-4326
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12401-40
WI
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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