Individual
ASHWIN SASIDHARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
525 MAIN ST, COLFAX, WI 54730-2807
(715) 962-3784
Mailing address
525 MAIN ST, COLFAX, WI 54730-2807
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20656
WI
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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