Individual
UTE GIMMLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8850 SHAVER RD, PORTAGE, MI 49024-6155
(269) 321-4333
Mailing address
6326 HIGH POINTE CIR, PORTAGE, MI 49024-1082
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
5302035954
MI
Other
Enumeration date
05/09/2014
Last updated
05/09/2014
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