Individual
MEGAN PONIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
700 W NORTON AVE, NORTON SHORES, MI 49441-4751
(231) 733-5733
(231) 733-5765
Mailing address
3827 KINVIEW ST NW, GRAND RAPIDS, MI 49534-1253
(989) 289-3161
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
5302038742
MI
Other
Enumeration date
05/09/2014
Last updated
05/09/2014
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