Individual
GARY MICHAEL PRIESKORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
826 W BELLEVUE ST, LESLIE, MI 49251-9302
(517) 589-8291
(517) 589-5819
Mailing address
12026 COOPER RD, PLEASANT LAKE, MI 49272-9705
(517) 589-9822
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302020373
MI
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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