Individual
DR. KEITH DAVID NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
250 S LAKE ST, SUITE A, EAST JORDAN, MI 49727-9376
(231) 536-0901
Mailing address
250 S LAKE ST, SUITE A, EAST JORDAN, MI 49727-9376
(231) 536-0901
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302035428
MI
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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