Individual
MR. DENNIS LEE GUILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7293 M 123, NEWBERRY, MI 49868-8127
(906) 293-8571
Mailing address
25347 N SHORE DR, MC MILLAN, MI 49853-9269
(231) 383-0431
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302022954
MI
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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