Michael A Wilczek

NPI #1598360844 in Bethany, Missouri

Provider Information

NPI Number: 1598360844
Entity Type: Individual
Name: Michael A Wilczek
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Dec 3, 2020
Last Updated: Dec 3, 2020

Practice Location

Address: 1104 S 25TH ST
City: Bethany
State: Missouri
ZIP Code: 64424-2612
Phone: (660) 425-8171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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