Anderson, Mark Gruen
Anderson, Mark Gruen is an sole proprietor health care provider with primary practice located at 2615 Eastern Ave , Plymouth WI 53073-4270. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Anderson, Mark Gruen can be contacted via phone (920) 892-4182.Contact Information
Primary practice address
2615 Eastern Ave
Plymouth WI 53073-4270
Phone: (920) 892-4182
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 9189-40 | Wisconsin |
Profile Details
| NPI number | 1629334073 |
|---|---|
| LBN Legal business name | Anderson, Mark Gruen |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2012 |
| Last updated | Apr 10th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
La Rock, Kurt
428 Walton Dr , Plymouth WI 53073-5019 -
Abhold, Dillon Norbert
2455 Eastern Ave , Plymouth WI 53073-4240 -
Senkbeil, Kelly
2455 Eastern Ave , Plymouth WI 53073-4240 -
Mugan, Michelle
2455 Eastern Ave , Plymouth WI 53073-4240 -
Hintz, Caitlyn
2455 Eastern Ave , Plymouth WI 53073-4240 -
Kozma, Paul Dennis
2615 Eastern Ave , Plymouth WI 53073-4270 -
Bales, Elizabeth Ann
2455 Eastern Ave , Plymouth WI 53073-4240 -
Thieme, Andrew
428 Walton Dr , Plymouth WI 53073-5019