Individual
KANE CHARLES MARCINIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
300 LAFAYETTE AVE SE, GRAND RAPIDS, MI 49503-4692
(616) 685-6105
Mailing address
300 LAFAYETTE AVE SE, GRAND RAPIDS, MI 49503-4692
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
5302415284
MI
1835P2201X
Ambulatory Care Pharmacist
Primary
5302415284
MI
Other
Enumeration date
07/25/2022
Last updated
03/16/2026
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