Individual
EVA WITECZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(586) 573-5270
Mailing address
17606 E KIRKWOOD DR, CLINTON TOWNSHIP, MI 48038-1209
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302020621
MI
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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