Individual
JOSHUA RONALD STAFFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1330 W CHICAGO BLVD, TECUMSEH, MI 49286-9769
(517) 423-3560
Mailing address
1111 YENSCH RD, DUNDEE, MI 48131-9747
(734) 430-1740
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302044208
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302044208
MICHIGAN PERMANENT ID #
MI
Enumeration date
10/15/2018
Last updated
10/15/2018
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