Individual
JONATHAN M DAWISHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
4295 ORCHARD LAKE RD, WEST BLOOMFIELD, MI 48323-1642
(248) 626-5434
Mailing address
4295 ORCHARD LAKE RD, WEST BLOOMFIELD, MI 48323-1642
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302040923
MI
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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