Individual
MARK DELEEUW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3263 COLBY RD, WHITEHALL, MI 49461-8601
(231) 893-0310
(231) 894-4050
Mailing address
3236 E. COLBY RD., WHITEHALL, MI 49461
(231) 893-0310
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302029644
MI
Other
Enumeration date
04/20/2011
Last updated
04/20/2011
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