Individual
KYOKO MARCUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
3915 W SAGINAW HWY, LANSING, MI 48917
(517) 703-0593
Mailing address
3915 W SAGINAW HWY, LANSING, MI 48917-2105
(517) 703-0593
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302038852
MI
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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