| Mr Michael W Wixom, RPH | |
|
15481 Commercial Rd, Lakewood, WI 54138-9677 | |
| (715) 276-3646 | |
| (715) 276-9568 |
| Full Name | Mr Michael W Wixom |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 15481 Commercial Rd, Lakewood, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326221284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 12282040 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael W Wixom, RPH 15481 Commercial Rd, Lakewood, WI 54138-9677 Ph: (715) 276-3646 | Mr Michael W Wixom, RPH 15481 Commercial Rd, Lakewood, WI 54138-9677 Ph: (715) 276-3646 |
Mr. Gary A Donaldson, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 15481 Commercial Rd, Lakewood, WI 54138 Phone: 715-276-3646 Fax: 715-276-9568 | |
Derek Loch, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 15481 Commercial Rd, Lakewood, WI 54138 Phone: 715-276-3646 |