Individual
MR. BRETT MICHAEL PETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
601 E LEFFLER ST, DODGEVILLE, WI 53533-2123
(608) 935-2365
(608) 935-9076
Mailing address
1370 SCENIC RIDGE DR, VERONA, WI 53593-2269
(608) 712-3898
(608) 935-9076
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13426-40
WI
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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