Individual
MR. DONOVAN MATTHEW HADDIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
29255 W JEFFERSON AVE, GIBRALTAR, MI 48173-9738
(734) 675-0000
Mailing address
23111 LORRAINE BLVD, APT 102, BROWNSTOWN TWP, MI 48183-3096
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302032555
MI
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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