Stephen Wallace Van De Wiel
NPI #1124384912 in Platteville, Wisconsin
Provider Information
- NPI Number
- 1124384912
- Entity Type
- Individual
- Name
- Stephen Wallace Van De Wiel
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Apr 5, 2012
- Last Updated
- Apr 5, 2012
Practice Location
- Address
- 1425 E BUSINESS HIGHWAY 151
- City
- Platteville
- State
- Wisconsin
- ZIP Code
- 53818-3842
- Phone
- (608) 348-6577
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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