Individual
MR. JEFFREY MICHAEL FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
801 WILLOW HWY, GRAND LEDGE, MI 48837-2009
(517) 627-5384
Mailing address
801 WILLOW HWY, GRAND LEDGE, MI 48837-2009
(517) 627-5384
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302028015
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183500000X
—
MI
Enumeration date
06/17/2015
Last updated
06/17/2015
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