Individual
LIN MAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16926 KERCHEVAL AVE, GROSSE POINTE PARK, MI 48230-1533
(313) 884-2164
Mailing address
16926 KERCHEVAL AVE, GROSSE POINTE PARK, MI 48230-1533
(313) 884-2164
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302028616
MI
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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