Individual
MR. DANIEL PAUL ENGSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
416 CONNABLE AVE, PHARMACY DEPARTMENT, PETOSKEY, MI 49770-2212
(231) 487-4770
Mailing address
12401 BIRCHCREST, CHARLEVOIX, MI 49720-9312
(231) 547-0953
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
5302024684
MI
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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