Individual
MIRANDA ROETHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
233 S CENTURY AVE, WAUNAKEE, WI 53597-1249
(608) 850-9314
(608) 850-9501
Mailing address
233 S CENTURY AVE, WAUNAKEE, WI 53597-1249
(608) 850-9314
(608) 850-9501
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22348-40
WI
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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