Brandon Dautermann

NPI 1255616603 - Pharmacist - 183500000X

NPI Details
NPI 1255616603
Gender Male
Enumeration Date 10/17/2011
Last Updated 10/17/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
275 DAVISON DR
SUN PRAIRIE WI, 53590-2034, US
Phone (608) 837-8566
Fax
Business Location
275 DAVISON DR
SUN PRAIRIE WI, 53590-2034, US
Phone (608) 837-8566
Fax
Toxanomy
Taxonomy Code 183500000X
License State Wisconsin
License Number 15981-040
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According to our database, Brandon Dautermann NPI is 1255616603, taxonomy code is 183500000X and license number is 15981-040, license state is located at Wisconsin. Brandon Dautermann physically located at 275 Davison Dr, Sun Prairie WI, 53590-2034. NPI Number Brandon Dautermann has the Individual type.

1255616603 NPI number is provided on an as is basis without warranty of any kind. 1255616603 is maintained by the National Plan & Provider Enumeration System. The contents of Brandon Dautermann are for informational purposes only.