KELLEN MICHAEL BRUSH

MENOMONEE FALLS, WI
NPI1871288092
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: WI  21506)
Enumeration Date2023-04-05
Last Update Date2023-04-05
Business Address
KELLEN MICHAEL BRUSH
N83W15701 APPLETON AVE
MENOMONEE FALLS, WI 53051-3042
Phone number: 262-251-3890
Mailing Address
KELLEN MICHAEL BRUSH
1246 N CASS ST
MILWAUKEE, WI 53202-2706
Phone number: 414-303-0413