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Individual

MR. MARK PERRY KIRSCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1765 FORT ST, LINCOLN PARK, MI 48146-1901
(313) 928-8638
Mailing address
1765 FORT ST, LINCOLN PARK, MI 48146-1901
(313) 928-8638

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302024956
MI

Other

Enumeration date
08/29/2011
Last updated
08/29/2011
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