DAVID ALAN DETTLE

TOMAH, WI
NPI1215191382
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: WI  8488-040)
Enumeration Date2008-07-17
Last Update Date2008-07-17
Business Address
Mr. DAVID ALAN DETTLE Rph
9816 ELAN RD
TOMAH, WI 54660-4246
Phone number: 608-372-1255
Mailing Address
Mr. DAVID ALAN DETTLE Rph
9816 ELAN RD
TOMAH, WI 54660-4246
Phone number: