Individual
PAUL WOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
7535 GREEN BAY RD, KENOSHA, WI 53142-4012
(262) 697-8927
Mailing address
615 SUTTON CT, WHEELING, IL 60090-2691
(262) 344-3024
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14530-40
WI
Other
Enumeration date
11/06/2011
Last updated
11/06/2011
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