Individual
MICHAEL DENTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
11111 W BURLEIGH ST, MILWAUKEE, WI 53222-3211
(414) 290-0910
Mailing address
N111W16153 CATSKILL LN, GERMANTOWN, WI 53022-4072
(262) 327-6018
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
19175-40
WI
Other
Enumeration date
04/28/2018
Last updated
04/28/2018
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