Individual
MR. DAVID L PONTIOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1029 M 37 S, TRAVERSE CITY, MI 49685-8508
(231) 943-3147
Mailing address
1029 M 37 S, TRAVERSE CITY, MI 49685-8508
(231) 943-3147
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
040865
MO
183500000X
Pharmacist
1-10442
KS
183500000X
Pharmacist
Primary
5302039037
MI
Other
Enumeration date
09/10/2011
Last updated
09/10/2011
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