Individual
DR. JOHN TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
1625 KING RD, TRENTON, MI 48183-1259
(734) 671-4302
Mailing address
41866 RAVENWOOD ST, CANTON, MI 48187-3926
(313) 303-5084
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302047253
MI
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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