Mike Prodoehl
Mike Prodoehl is a Pharmacist in Fond Du Lac, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2015.
- Licensed in
- WI
- In the registry since
- 2015
Practice location Address checks out
760 W Johnson StFond Du Lac, WI 54935-2016
Phone: (920) 929-7422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 16103-40 (WI) |
|---|
Record details
| NPI number | 1750772547 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 15, 2015 |
| Last updated in NPPES | February 15, 2015 |
| Mailing address | 760 W Johnson St, Fond Du Lac, WI 54935-2016 |
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