Individual
MRS. AMANDA NICOLE GOTZINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 256-1901
Mailing address
7426 TIMBER LAKE TRL APT 307, MADISON, WI 53719-3334
(303) 475-5800
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0019579
CO
Other
Enumeration date
08/12/2012
Last updated
08/12/2012
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