Individual
CRISANTA VOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2580 LAKE AVE, N MUSKEGON, MI 49445-3323
(231) 744-2401
(231) 744-9951
Mailing address
2241 FILINOW DR, MUSKEGON, MI 49444-4051
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302032972
MI
Other
Enumeration date
03/25/2011
Last updated
03/25/2011
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