Individual
DR. MICHAEL MOSTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
61155 S HWY 97, BEND, OR 97702-2523
(541) 382-5742
Mailing address
61155 S HWY 97, BEND, OR 97702-2523
(541) 382-5742
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-10566
OR
Other
Enumeration date
11/02/2012
Last updated
11/02/2012
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