Individual
MARK EDWARD MONTCALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
658 E MAIN ST, CENTREVILLE, MI 49032-9627
(269) 467-3510
(269) 467-3515
Mailing address
658 E MAIN ST, CENTREVILLE, MI 49032-9627
(269) 467-3510
(269) 467-3515
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302035433
MI
Other
Enumeration date
02/12/2010
Last updated
01/18/2018
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