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Individual

KOUAKOU KONAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
15300 EUREKA RD, SOUTHGATE, MI 48195-3261
(734) 283-9500
(734) 283-2248
Mailing address
15300 EUREKA RD, SOUTHGATE, MI 48195-3261
(734) 283-9500
(734) 283-2248

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
5302037743
MI

Other

Enumeration date
06/18/2020
Last updated
06/18/2020
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