Individual
PAUL MICHAEL CESARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
N2950 STATE ROAD 67, LAKE GENEVA, WI 53147-2655
(262) 245-2319
Mailing address
N2950 STATE ROAD 67, LAKE GENEVA, WI 53147-2655
(262) 245-2319
(262) 245-4995
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9655
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051.303934
PHARMACIST LICENSE
IL
01
—
9655-40
PHARMACIST LICENSE
WI
Enumeration date
09/28/2011
Last updated
07/15/2022
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