Individual
DR. CARMEN MITCHELL DOCTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
360 DIVISION AVE S STE 1E, GRAND RAPIDS, MI 49503-4501
(616) 685-1080
(616) 685-1090
Mailing address
360 DIVISION AVE S STE 1E, GRAND RAPIDS, MI 49503-4501
(616) 685-1089
(616) 685-1090
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302038544
MI
Other
Enumeration date
05/15/2017
Last updated
05/15/2017
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