Individual
JAN MISEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3495 7TH AVENUE, MARION, IA 52302
(319) 373-0430
Mailing address
3495 7TH AVENUE, MARION, IA 52302
(319) 373-0430
(319) 373-0450
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17075
IA
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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