Individual
MR. JORDAN MICHEL BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4425 DIVISION AVE S, WYOMING, MI 49548-4304
(616) 531-9494
Mailing address
3536 BURTON RIDGE RD SE APT J, GRAND RAPIDS, MI 49546-7617
(269) 217-8878
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302414662
MI
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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