Individual
MATTHEW JAMES PETRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1433 W BURNHAM ST, MILWAUKEE, WI 53204-3251
(414) 672-3017
(414) 672-3325
Mailing address
1433 W BURNHAM ST, MILWAUKEE, WI 53204-3251
(414) 672-3017
(414) 672-3325
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15248-040
WI
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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