Klair Diedrick

NPI #1154930790 in Appleton, Wisconsin

Provider Information

NPI Number
1154930790
Entity Type
Individual
Name
Klair Diedrick
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Jul 29, 2020
Last Updated
Jul 29, 2020

Practice Location

Address
3701 E CALUMET ST
ZIP Code
54915-4149
Phone
(920) 996-0746

Specialties & Taxonomy Codes

Specialty
Pharmacist

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