Individual
MR. KEVIN JAY VANANTWERP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
807 NAPIER AVE, SAINT JOSEPH, MI 49085-2003
(269) 983-4802
(269) 983-7633
Mailing address
807 NAPIER AVE, SAINT JOSEPH, MI 49085-2003
(269) 983-4802
(269) 983-7633
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302023831
MI
Other
Enumeration date
12/12/2009
Last updated
12/12/2009
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