Individual
DANIELLE BAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
211 N EDDY ST, SOUTH BEND, IN 46617-3096
(574) 246-8816
Mailing address
PO BOX 23, BERRIEN SPRINGS, MI 49103-0023
(224) 806-6924
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302413334
MI
Other
Enumeration date
06/14/2021
Last updated
04/08/2026
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