Individual
MRS. BRIDGET ANN WANLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
170 N CASEVILLE RD, PIGEON, MI 48755-9704
(989) 453-5208
Mailing address
3135 BAY ST, POBOX 213, UNIONVILLE, MI 48767-9700
(989) 453-5208
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302028491
MI
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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