Goninen, Marisa Kay

Goninen, Marisa Kay is an individual health care provider with primary practice located at 12500 W Bluemound Rd , Elm Grove WI 53122-2600. She recently has only one registered license in Pharmacy Service Providers / Ambulatory Care, which is considered as her primary health care specialty. Goninen, Marisa Kay can be contacted via phone (262) 957-8239.

Contact Information

Primary practice address
12500 W Bluemound Rd Elm Grove WI 53122-2600
Phone: (262) 957-8239
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Ambulatory Care 1835P2201X 051302431 Illinois
Pharmacy Service Providers / Ambulatory Care 1835P2201X 18402-40 Wisconsin

Profile Details

NPI number 1164047684
LBN Legal business name Goninen, Marisa Kay
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2020
Last updated Oct 23rd, 2020 - about 4 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.

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