Individual
MATTHEW MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
5000 W NATIONAL AVE, DEPT 119, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
PO BOX 3635, ASPEN, CO 81612-3635
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA-17796
CO
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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