Individual
CURTIS LEIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
291 S MAIN ST, CLINTONVILLE, WI 54929-1604
(715) 823-2350
Mailing address
109 DOTY ST, FREMONT, WI 54940-9104
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18436-40
WI
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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