Individual
PAIGE WIEDERHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1821 S. STOUGHTON ROAD, MADISON, WI 53716
(608) 260-6085
Mailing address
1821 S. STOUGHTON ROAD, MADISON, WI 53716
(608) 260-6085
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18607-40
WI
Other
Enumeration date
09/13/2016
Last updated
01/03/2025
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