FREDERICK WENTLAND

LA CROSSE, WI
NPI1386920262
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: WI  12464-40)
Enumeration Date2011-10-24
Last Update Date2011-10-24
Business Address
-- FREDERICK WENTLAND
900 WEST AVE S
LA CROSSE, WI 54601-4729
Phone number: 608-796-2058
Mailing Address
-- FREDERICK WENTLAND
900 WEST AVE S
LA CROSSE, WI 54601-4729
Phone number:
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