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Individual

DR. GRANT C SCHUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH PHARMD

Contact information

Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 775-8059
Mailing address
19137 HIGHWAY 60, WABASHA, MN 55981-2187
(651) 565-3599

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
115468-3
MN
183500000X
Pharmacist
Primary
14784-040
WI

Other

Enumeration date
12/11/2006
Last updated
07/08/2007
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