Individual
JENNA MICHNIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9666 OLDE US 20, ROSSFORD, OH 43460-1710
(419) 872-9126
Mailing address
7011 QUAIL LAKES DR, HOLLAND, OH 43528-9390
(734) 751-9387
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302412941
MI
Other
Enumeration date
11/27/2020
Last updated
11/27/2020
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