Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARK STEPHEN VANDERMAUSE, BS PHARMACY RPH
ActiveMR. MARK STEPHEN VANDERMAUSE, BS PHARMACY RPH is a Pharmacist healthcare provider located in KAUKAUNA, Wisconsin. NPI 1306122262 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · KAUKAUNA, WI
Registration Details
- NPI Number
- 1306122262
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 24, 2011 (14.779527738349 yrs)
- Last Updated
- Oct 24, 2011
- License
-
9249-40 (WI)
Practice Information
- Address
-
2412 CROOKS AVEKAUKAUNA, WI, 541303914Browse WI providers · Browse ZIP 54130
- Phone
- 9207599165
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in KAUKAUNA, WI
| Name | Credential | NPI |
|---|---|---|
| MATTHEW H GOODMAN | PHARMD | 1871878900 |
| MRS. DEANNA LEA BAUGHMAN | PHARM D | 1366712325 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.