Provider Demographics
NPI:1316261928
Name:DUEHRING, DAVID N (RPH)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:N
Last Name:DUEHRING
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:328 WATSON ST
Mailing Address - Street 2:
Mailing Address - City:RIPON
Mailing Address - State:WI
Mailing Address - Zip Code:54971-1517
Mailing Address - Country:US
Mailing Address - Phone:920-748-5174
Mailing Address - Fax:920-748-2066
Practice Address - Street 1:328 WATSON ST
Practice Address - Street 2:
Practice Address - City:RIPON
Practice Address - State:WI
Practice Address - Zip Code:54971-1517
Practice Address - Country:US
Practice Address - Phone:920-748-5174
Practice Address - Fax:920-748-2066
Is Sole Proprietor?:No
Enumeration Date:2010-03-25
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7936183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist