MATTHEW RUSSELL DIERKS

MADISON, WI
NPI1164617817
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: WI  14941-040)
Additional Taxonomies183500000X Pharmacist
(Licence: IN  26022406A)
Enumeration Date2007-09-06
Last Update Date2008-01-27
Business Address
Dr. MATTHEW RUSSELL DIERKS Pharm.D.
600 HIGHLAND AVE F6/133-1530
MADISON, WI 53792-0001
Phone number: 608-263-1284
Mailing Address
Dr. MATTHEW RUSSELL DIERKS Pharm.D.
600 HIGHLAND AVE F6/133-1530
MADISON, WI 53792-0001
Phone number: 608-263-1284