MR. Michael W Wixom, RPH

NPI #1326221284 in Lakewood, Wisconsin

Provider Information

NPI Number: 1326221284
Entity Type: Individual
Name: MR. Michael W Wixom, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Dec 13, 2007
Last Updated: Dec 13, 2007

Practice Location

Address: 15481 COMMERCIAL RD
City: Lakewood
State: Wisconsin
ZIP Code: 54138-9677
Phone: (715) 276-3646

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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