Individual
LINDA CAROL WITHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
939 US 31, TRAVERSE CITY, MI 49684
(231) 943-9288
Mailing address
10351 NARROW GAUGE RD, BEULAH, MI 49617-9639
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302025762
MI
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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