Individual
CHARLES GOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5858 28TH ST SE, GRAND RAPIDS, MI 49546
(616) 949-9892
Mailing address
416 FULTON ST E APT 1, GRAND RAPIDS, MI 49503-5941
(989) 701-6269
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302414727
MI
Other
Enumeration date
10/25/2021
Last updated
09/16/2022
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