Mark Molter

NPI #1518587104 in Tomah, Wisconsin

Provider Information

NPI Number: 1518587104
Entity Type: Individual
Name: Mark Molter
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Apr 23, 2020
Last Updated: Apr 23, 2020

Practice Location

Address: 701 E CLIFTON ST
City: Tomah
State: Wisconsin
ZIP Code: 54660-2633
Phone: (608) 372-5355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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