Individual
DR. KEVIN DALE MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
109 N MARQUETTE RD, PRAIRIE DU CHIEN, WI 53821-1512
(608) 326-0581
(608) 326-0586
Mailing address
109 N MARQUETTE RD, PRAIRIE DU CHIEN, WI 53821-1512
(608) 326-0581
(608) 326-0586
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14346
WI
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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