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Individual

MR. JOHN MARK BRUBAKER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(586) 573-5850
(586) 573-5853
Mailing address
37049 CALKA DR, STERLING HEIGHTS, MI 48310-3502
(586) 945-4827

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
00056824
WA
183500000X
Pharmacist
Primary
5302410858
MI

Other

Enumeration date
01/19/2006
Last updated
07/08/2007
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