Individual
DR. KATHEE E DE FALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
300 N MAIN ST, FORT ATKINSON, WI 53538-1831
(920) 568-9326
Mailing address
324 ROOSEVELT ST, FORT ATKINSON, WI 53538-1634
(906) 281-3388
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13431-040
WI
Other
Enumeration date
11/04/2012
Last updated
04/17/2020
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