Individual
KELSEY BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
28800 TELEGRAPH RD, SOUTHFIELD, MI 48034-1950
(248) 304-9510
Mailing address
28800 TELEGRAPH RD, SOUTHFIELD, MI 48034-1950
(248) 304-9510
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302042828
MI
Other
Enumeration date
08/01/2018
Last updated
01/19/2022
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