Individual
SUSAN KAY COLVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 E LAKE ST, TAWAS CITY, MI 48763-9279
(989) 362-3439
(989) 984-0145
Mailing address
211 E LAKE ST, TAWAS CITY, MI 48763-9279
(989) 873-3312
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
460101081259301
MI
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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