Individual
DR. MICHAEL DULL II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
822 PARK AVE, BEAVER DAM, WI 53916-2206
(920) 887-7511
Mailing address
822 PARK AVE, BEAVER DAM, WI 53916-2206
(920) 887-7511
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
WI14898-40
WI
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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