MATTHEW JOHN FERNHOLZ

LA CROSSE, WI
NPI1063851020
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: WI  12167-40)
Enumeration Date2013-06-22
Last Update Date2013-06-22
Business Address
Mr. MATTHEW JOHN FERNHOLZ rph
4344 MORMON COULEE RD
LA CROSSE, WI 54601-7908
Phone number: 608-188-8860
Mailing Address
Mr. MATTHEW JOHN FERNHOLZ rph
4344 MORMON COULEE RD
LA CROSSE, WI 54601-7908
Phone number: 608-188-8860