Individual
BARBARA MARIE MATTZELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH.
Contact information
Practice address
1501 E APPLE AVE STE C, MUSKEGON, MI 49442-3762
(231) 773-9188
(231) 773-1451
Mailing address
3080 DALSON RD, TWIN LAKE, MI 49457-9208
(231) 773-9188
(231) 773-1451
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302029400
MI
Other
Enumeration date
02/25/2010
Last updated
02/25/2010
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