Individual
MRS. KELLY ANGELA GINGRASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
1810 S STEPHENSON AVE, IRON MOUNTAIN, MI 49801-3615
(906) 779-2163
Mailing address
1300 WALKER ST, IRON MOUNTAIN, MI 49801-6604
(906) 774-6864
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302032013
MI
Other
Enumeration date
03/26/2010
Last updated
03/26/2010
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