MR. Matthew J Englerth

NPI #1912283698 in Sparta, Wisconsin

Provider Information

NPI Number: 1912283698
Entity Type: Individual
Name: MR. Matthew J Englerth
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Oct 26, 2011
Last Updated: Oct 26, 2011

Practice Location

Address: 710 W WISCONSIN ST
City: Sparta
State: Wisconsin
ZIP Code: 54656-2335
Phone: (608) 269-4031

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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