Individual
STEPHEN DOUGLAS HERBST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
801 N ROCHESTER ST, MUKWONAGO, WI 53149-1142
(262) 363-4001
(262) 363-5699
Mailing address
801 N ROCHESTER ST, MUKWONAGO, WI 53149-1142
(262) 363-4001
(262) 363-5699
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13448-040
WI
183500000X
Pharmacist
S013150
AZ
Other
Enumeration date
02/26/2010
Last updated
02/26/2010
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