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Individual

DANIEL WILK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
515 22ND AVE, MONROE, WI 53566-1569
(262) 894-6829
Mailing address
E203 3RD ST, BRODHEAD, WI 53520-1022

Taxonomy

Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
1902740
WI

Other

Enumeration date
08/01/2017
Last updated
08/01/2017
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