Individual
MR. RICHARD WILLIAM GENSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
309 N MAIN ST, FRANKENMUTH, MI 48734-1113
(989) 652-2613
Mailing address
12031 SARAH, MONTROSE, MI 48457-8907
(810) 247-0258
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5303012910
MI
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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