Individual
GRANT PERSCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
800 WEST AVE S, LA CROSSE, WI 54601-8806
(608) 785-0940
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(608) 785-0940
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22453-40
WI
Other
Enumeration date
03/18/2024
Last updated
03/28/2024
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