Individual
MATTHEW DUANE LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
11040 N STATE ROAD 77, HAYWARD, WI 54843-3606
(715) 934-4230
(715) 934-4278
Mailing address
16270 W GRANITE TRL, HAYWARD, WI 54843-4584
(715) 558-1984
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19286-40
WI
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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