Individual
MR. MARK DUCOMMUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-6581
Mailing address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-6581
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302025056
MI
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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