Individual
PETER KAMPSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14640 PARDEE RD, TAYLOR, MI 48180-4739
(734) 374-4233
(734) 374-4265
Mailing address
14640 PARDEE RD, TAYLOR, MI 48180-4739
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
5302030951
MI
Other
Enumeration date
05/04/2014
Last updated
05/04/2014
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