Individual
TRAVIS OMMODT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3360 TITTABAWASSEE RD, SAGINAW, MI 48604-9453
(989) 249-6010
(989) 249-6065
Mailing address
3519 VAN HORN RD, JACKSON, MI 49201-9442
(517) 745-9082
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
5302412614
MI
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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