Michael J Micksch, RPH | |
1010 W Ryan St, Brillion, WI 54110-1079 | |
(920) 756-2640 | |
(920) 756-9262 |
Full Name | Michael J Micksch |
---|---|
Gender | Male |
Speciality | Pharmacist |
Location | 1010 W Ryan St, Brillion, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730421710 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
183500000X | Pharmacist | 10271 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
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Michael J Micksch, RPH 6428 Arabian Way, Two Rivers, WI 54241-8970 Ph: (920) 686-3740 | Michael J Micksch, RPH 1010 W Ryan St, Brillion, WI 54110-1079 Ph: (920) 756-2640 |
Mr. Mark Alan Rysticken, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1010 W Ryan St, Brillion, WI 54110 Phone: 920-756-2640 Fax: 920-756-9262 | |
Mary Rothe, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 109 S Main St Ste B, Brillion, WI 54110 Phone: 920-524-2124 Fax: 920-524-2145 |