Individual
MICAH JAMES THILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
464 CARDINAL LN, HOBART, WI 54313-9569
(920) 661-9355
(920) 661-9309
Mailing address
464 CARDINAL LN, GREEN BAY, WI 54313-9569
(920) 661-9355
(920) 661-9309
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18472-40
WI
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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