Michael David Stubenvoll, PHARMD

NPI #1043970304 in Sister Bay, Wisconsin

Provider Information

NPI Number: 1043970304
Entity Type: Individual
Name: Michael David Stubenvoll, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Dec 28, 2021
Last Updated: Dec 28, 2021

Practice Location

Address: 10578 COUNTRY WALK DR UNIT 27
City: Sister Bay
State: Wisconsin
ZIP Code: 54234-9114
Phone: (920) 633-4060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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