Search › Wisconsin › 183500000X
Nathan Bertucci, PHARMD
NPI 1881948180 · on the registry since 2012 · sole proprietor
Practice
- Address
- 1578 Appleton Rd
Menasha, WI 54952 - Phone
- (920) 722-1895
- Fax
- (920) 722-3195
- Organisation at this address
- Shopko Stores Operating Co Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 183500000X
3336C0003X - Licence states on file
- MI, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-02-27
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