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Individual

DR. JEFFIN PANICKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
15267 E 14 MILE RD, FRASER, MI 48026-2030
(586) 294-5463
Mailing address
25645 SALEM ST, ROSEVILLE, MI 48066-5810
(586) 219-7578

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302413533
MI
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
5302413533
MI

Other

Enumeration date
08/23/2021
Last updated
06/30/2023
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