Individual
CARL RUDOLPH HINTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6974 BYRON LAKES DR SW APT 3B, BYRON CENTER, MI 49315-9751
(616) 915-1109
Mailing address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302033384
MI
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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