Mattern, Justin Michael

Mattern, Justin Michael is an individual health care provider with primary practice located at 3705 Monroe Rd , De Pere WI 54115-4020. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Mattern, Justin Michael can be contacted via phone (920) 336-6096.

Contact Information

Primary practice address
3705 Monroe Rd De Pere WI 54115-4020
Phone: (920) 336-6096
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 17629-40 Wisconsin

Profile Details

NPI number 1538562293
LBN Legal business name Mattern, Justin Michael
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2014
Last updated Oct 8th, 2014 - about 11 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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