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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL J MICKSCH, RPH

Active Sole Proprietor

MICHAEL J MICKSCH, RPH is a Pharmacist healthcare provider located in BRILLION, Wisconsin. NPI 1730421710 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · BRILLION, WI

Registration Details

NPI Number
1730421710
Provider Type
Individual
Gender
Male
NPI Issued
Mar 18, 2013 (13.395424409425 yrs)
Last Updated
Mar 18, 2013
License
10271 (WI)
Sole Proprietor
Yes

Practice Information

Address
1010 W RYAN ST
BRILLION, WI, 541101079
Browse WI providers · Browse ZIP 54110
Phone
9207562640
Fax
9207569262
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in BRILLION, WI

Name Credential NPI
MR. MARK ALAN RYSTICKEN RPH 1164618013
MARY ROTHE PHARMD 1285255471
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.