Individual
MANUELA KNIEP-DIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11585 E 12 MILE RD, WARREN, MI 48093-2645
(586) 751-0300
Mailing address
47624 HENNINGS ST, CHESTERFIELD, MI 48047-4924
(586) 321-9652
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5303035150
MI
Other
Enumeration date
06/26/2021
Last updated
06/26/2021
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