Individual
DR. JOSEPH RAYMOND FIESEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
6560 E STATE ST, T-0810, ROCKFORD, IL 61108-2545
(815) 227-9777
(815) 227-9777
Mailing address
6560 E STATE ST, ROCKFORD, IL 61108-2545
(815) 227-9777
(815) 227-9777
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051292031
IL
Other
Enumeration date
06/26/2011
Last updated
06/26/2011
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