Individual
ERIC JAMES MIESBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
302 S GRAND AVE, SUN PRAIRIE, WI 53590-9827
(608) 837-5949
(608) 825-3253
Mailing address
125 S THOMPSON RD, SUN PRAIRIE, WI 53590-2526
(608) 837-8002
(608) 837-8005
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22412
WI
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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