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Individual

MR. THOMAS PAUL ALTENBERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH, MBA

Contact information

Practice address
3031 POPLAR CREEK DR SE, SUITE 103, GRAND RAPIDS, MI 49512-5682
(616) 975-7590
(616) 975-7596
Mailing address
3031 POPLAR CREEK DR SE, SUITE 103, GRAND RAPIDS, MI 49512-5682
(616) 975-7590
(616) 975-7596

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
5302032992
MI

Other

Enumeration date
02/27/2011
Last updated
02/27/2011
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