Individual
ELLEN ESSENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH, PHARMD
Contact information
Practice address
6600 M 66 N, CHARLEVOIX, MI 49720-9505
(231) 547-0915
(231) 547-5097
Mailing address
6600 M 66 N, CHARLEVOIX, MI 49720-9505
(231) 547-0915
(231) 547-5097
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302038823
MI
Other
Enumeration date
07/07/2013
Last updated
07/09/2013
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