Individual
MICHAEL JOHN MASSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
9000 W WISCONSIN AVE, SUITE 235, WAUWATOSA, WI 53226-4874
(414) 266-1892
Mailing address
9000 W WISCONSIN AVE, SUITE 235, WAUWATOSA, WI 53226-4874
(414) 266-1892
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14630-40
WI
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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