Individual
MRS. SALLY WITTLIEFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 W US HIGHWAY 10, LUDINGTON, MI 49431-7612
(231) 845-3764
Mailing address
3900 W US HIGHWAY 10, LUDINGTON, MI 49431-7612
(231) 845-3764
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
5302028189
MI
Other
Enumeration date
06/26/2015
Last updated
06/26/2015
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