Individual
MARK J EGGERICHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1450 E GENEVA ST, DELAVAN, WI 53115-2025
(262) 728-0062
(262) 728-0055
Mailing address
1125 SUNDT LN, STOUGHTON, WI 53589-1284
(608) 873-0268
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9135-040
WI
Other
Enumeration date
02/15/2010
Last updated
11/10/2013
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