MR. David Alan Dettle, RPH

NPI #1215191382 in Tomah, Wisconsin

Provider Information

NPI Number: 1215191382
Entity Type: Individual
Name: MR. David Alan Dettle, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Jul 17, 2008
Last Updated: Jul 17, 2008

Practice Location

Address: 9816 ELAN RD
City: Tomah
State: Wisconsin
ZIP Code: 54660-4246
Phone: (608) 372-1255

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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