Individual
CASEY MARIE KLOOSTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6649 W MAIN ST, KALAMAZOO, MI 49009-8922
(269) 372-0273
Mailing address
6649 W MAIN ST, KALAMAZOO, MI 49009-8922
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302412975
MI
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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