Individual
DR. BRENDA D VAN VELDHUIZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2626 ROSE ST, LA CROSSE, WI 54603-1616
(608) 781-0791
Mailing address
2626 ROSE ST, LA CROSSE, WI 54603-1616
(608) 781-0791
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
156955-040
WI
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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