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NPI Code Detail

MEDICARE: CHAD SEUBERT PHARMD

MEDICARE: CHAD SEUBERT PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist18454-40WI

General Provider Information

NPI Number : 1104451665
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHAD SEUBERT PHARMD
Provider Business Mailing Address
First Line : 1546 E MONROE AVE
Second Line :
City : HARTFORD
State : WI
Zip : 53027-8412
Country : US
Telephone Number : 608-317-0600
Fax Number :
Provider Business Practice Location Address
First Line : 240 E HAMPTON RD
Second Line :
City : WHITEFISH BAY
State : WI
Zip : 53217-5850
Country : US
Telephone Number : 414-962-7071
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2020
Last Update Date : 03/05/2020

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Directions to “ CHAD SEUBERT PHARMD” Practice Location

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