MIKE PRODOEHL

FOND DU LAC, WI
NPI1750772547
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: WI  16103-40)
Enumeration Date2015-02-15
Last Update Date2015-02-15
Business Address
-- MIKE PRODOEHL
760 W JOHNSON ST
FOND DU LAC, WI 54935-2016
Phone number: 920-929-7422
Mailing Address
-- MIKE PRODOEHL
760 W JOHNSON ST
FOND DU LAC, WI 54935-2016
Phone number:
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