Individual
KRISTINA MARIE BENNWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4122 E TOWNE BLVD, MADISON, WI 53704-3732
(608) 242-6862
Mailing address
4122 E TOWNE BLVD, MADISON, WI 53704-3732
(608) 242-6862
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1756340
WI
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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