Individual
BRENDA WELLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 HWY 67, KIEL, WI 53042-1630
(920) 894-3604
Mailing address
1120 HWY 67, KIEL, WI 53042-1630
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
13657
WI
Other
Enumeration date
02/03/2019
Last updated
02/03/2019
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