Individual
STEPHANIE ANN RENNICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4035 N OAKLAND AVE, SHOREWOOD, WI 53211-2356
(414) 961-2001
Mailing address
4035 N OAKLAND AVE, SHOREWOOD, WI 53211-2356
(414) 961-2001
(414) 961-9924
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18655-40
WI
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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