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Individual

DR. MATTHEW RICHARDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
611 N SAINT JOSEPH AVE, MARSHFIELD, WI 54449-1832
(715) 387-7118
Mailing address
2412 N PEACH AVE APT 4, MARSHFIELD, WI 54449-8351

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16734-40
WI

Other

Enumeration date
12/21/2012
Last updated
12/21/2012
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