Individual
MR. ERIC MATTHEW HACKBARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3481 TUSCANY SE, GRAND RAPIDS, MI 49546
(616) 490-0010
Mailing address
3481 TUSCANY DR SE, GRAND RAPIDS, MI 49546-7266
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302038909
MI
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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