NPI 1124481908

Mel Esselman

Practitioner Pharmacist West Bend, WI

Practice location

Address: 5595 Highway Z, West Bend, WI 53095-9224
Phone: (262) 306-2140
Fax: (262) 306-2141

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 8448-40 (WI)

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Registry record

NPI: 1124481908
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Mar 2016
Record last updated: 30 Mar 2016

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.