Individual
MRS. KRISTEN BUTHKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1021 ALPINE AVE NW, GRAND RAPIDS, MI 49504-4139
(585) 545-5107
Mailing address
1021 ALPINE AVE NW, GRAND RAPIDS, MI 49504-4139
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5351011353
MI
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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