Individual
BRANDON ORAWIEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3726 22ND AVE, KENOSHA, WI 53140-5300
(262) 654-6545
Mailing address
3726 22ND AVE, KENOSHA, WI 53140-5300
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051301746
IL
183500000X
Pharmacist
Primary
17624
WI
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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