Individual
KELLY HOLZHAUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(734) 552-5323
Mailing address
2523 WHEELER DR, CHELSEA, MI 48118-9224
(734) 552-5323
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302032302
MI
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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