Individual
KATHLEEN BAZANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 HOLTON RD, MUSKEGON, MI 49445-1532
(231) 744-7178
(231) 744-7665
Mailing address
1230 W RIVER RD, MUSKEGON, MI 49445-9301
(231) 557-0516
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
5302027325
MI
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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