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Individual

MARK E EWING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3403 E GENESEE AVE, SAGINAW, MI 48601-4212
(989) 752-8240
Mailing address
3403 E GENESEE AVE, SAGINAW, MI 48601-4212
(989) 752-8240

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302022928
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5302022928
PHARMACIST LICENSE
MI
Enumeration date
11/01/2016
Last updated
11/01/2016
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