Individual
JEREMY KELM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
21936 VASSAR AVE, HAZEL PARK, MI 48030-1828
(248) 546-0494
Mailing address
910 SEWARD ST RM 306, DETROIT, MI 48202-2351
(248) 762-3127
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302041627
MI
Other
Enumeration date
07/11/2017
Last updated
12/27/2024
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