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Individual

DR. MICHAEL JAMES MICHUTKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
1521 GULL RD, PHARMACY DEPARTMENT, KALAMAZOO, MI 49048-1640
(262) 226-5206
Mailing address
4355 KETTLE MORAINE DR APT 3A, KALAMAZOO, MI 49048-3145
(269) 226-5206

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
5302036094
MI

Other

Enumeration date
01/10/2012
Last updated
01/10/2012
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