Individual
KEITH ALAN GAEDE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
6404 WESTERN AVE, GLEN ARBOR, MI 49636
(231) 334-6608
Mailing address
8992 PENINSULA DR, TRAVERSE CITY, MI 49686-1561
(231) 995-0961
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302021381
MI
Other
Enumeration date
05/05/2006
Last updated
07/08/2007
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