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Individual

DR. ERIN ORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
901 FOND DU LAC AVE, KEWASKUM, WI 53040-9161
(262) 477-1700
Mailing address
901 FOND DU LAC AVE, KEWASKUM, WI 53040-9161
(262) 477-1700

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
14955-40
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100016117
WI
Enumeration date
06/12/2019
Last updated
06/12/2019
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