Individual
DR. JEBY MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4200 HIGHLAND RD, WATERFORD, MI 48328-2137
(248) 738-7865
Mailing address
4200 HIGHLAND RD, WATERFORD, MI 48328-2137
(248) 738-7865
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
5302040148
MI
Other
Enumeration date
10/20/2014
Last updated
10/25/2014
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