Individual
MR. CHARLES WAYNE ROETHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
206 N IOWA ST, DODGEVILLE, WI 53533-1548
(608) 935-3661
(608) 935-2661
Mailing address
206 N IOWA ST, DODGEVILLE, WI 53533-1548
(608) 935-3661
(608) 935-2661
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8906-040
WI
Other
Enumeration date
10/26/2009
Last updated
10/26/2009
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