Individual
CHARLIE METWELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8900 MACOMB ST, GROSSE ILE, MI 48138-1577
(313) 888-6881
Mailing address
8900 MACOMB ST, GROSSE ILE, MI 48138-1577
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302414606
MI
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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