Individual
KURT DOUGLAS WESLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
306 W LAKE ST, TAWAS CITY, MI 48763-8308
(989) 362-3311
Mailing address
1370 BISCHOFF RD, EAST TAWAS, MI 48730-9627
(989) 310-0676
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302024616
MI
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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