Shopko Stores Operating Co LLC

Practice location

Address

N2585 Plaza Rd, Wautoma, WI 54982-7706

Phone

(920) 787-2090

Fax

(920) 787-4605

Authorised official

Name

Michael Bettiga

Title

Executive Vice President & Coo

Phone

(920) 429-4297

Registered specialties (3)

Registry record

NPI

1811941586

Entity type

Organization

NPI issued

19 May 2006

Record last updated

4 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.