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Michael Cornelius Bishop

Pharmacist in Sheboygan, WI. Individual provider (NPI-1).

NPI number1992457261
StatusActive
Last updated in NPPESJan 19, 2022

Details

NPI
1992457261
Entity type
Individual (NPI-1)
Name
Michael Cornelius Bishop
Sex
Male
Sole proprietor
No
Enumeration date
Jan 19, 2022
Certification date
Jan 17, 2022
Last updated
Jan 19, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist9370WIYes
183500000X Pharmacist40-9370WI

Practice location

3711 S Taylor Dr
Sheboygan, WI 53081-8495

Phone 920-459-8601 · Fax 920-459-8662

Mailing address

643 School St
Kohler, WI 53044-1429

Phone 920-207-6294

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