NPI 1003208653

Tina Selig, PHARMD

Practitioner Pharmacist New London, WI

Practice location

Address: 981 N Shawano St, New London, WI 54961-9380
Phone: (920) 982-5189

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 16404 (WI)

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Registry record

NPI: 1003208653
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Feb 2015
Record last updated: 19 Feb 2015

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.