Individual
DR. ELVIS D GWANYALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6421 W SAGINAW HWY, LANSING, MI 48917-1107
(517) 703-0537
Mailing address
1620 WOODBROOK ST, APT 45, EAST LANSING, MI 48823-1798
(517) 897-1762
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302040100
MI
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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