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Keith Herold
NPI 1265031595 · on the registry since 2020 · sole proprietor
Practice
- Address
- 2440 W Mason St
Green Bay, WI 54303 - Phone
- (920) 499-2330
- Fax
- (920) 499-1136
- Organisation at this address
- Eye See, Llc
Wal-Mart Stores East Lp
Wal-Mart Stores East, LpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-11-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin