Individual
IRENE DIANE DZIECHCIARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
15250 24 MILE RD, MACOMB, MI 48042-5817
(586) 677-1108
(586) 677-1129
Mailing address
15250 24 MILE RD, MACOMB, MI 48042-5817
(586) 677-1108
(586) 677-1129
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302024342
MI
Other
Enumeration date
06/09/2010
Last updated
06/09/2010
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