Individual
JUSTIN B GUTHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-2682
Mailing address
2534 N 69TH ST, WAUWATOSA, WI 53213-1316
(715) 271-3455
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15613-040
WI
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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