Individual
JACK KAMPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2323 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 291-1069
(414) 291-1073
Mailing address
1717 16TH AVE, GRAFTON, WI 53024-2051
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15697-40
WI
Other
Enumeration date
01/16/2015
Last updated
01/16/2015
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