Individual
LANCE BROERSMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
3778 HARRIS DR, NORTON SHORES, MI 49441-7000
(231) 740-4618
Mailing address
3778 HARRIS DR, NORTON SHORES, MI 49441-7000
(231) 740-4618
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302027689
MI
Other
Enumeration date
02/08/2014
Last updated
02/08/2014
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