Individual
DR. ERIC JOHN DEFOUW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1401 W MAIN ST, LOWELL, MI 49331-1562
(616) 897-9221
Mailing address
8695 GARDENDALE AVE SW, BYRON CENTER, MI 49315-9228
(616) 878-1203
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302035386
MI
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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