Individual
DR. JEFFREY PUSTULKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1415 E MICHIGAN AVE, YPSILANTI, MI 48198-5905
(734) 482-2550
Mailing address
1415 E MICHIGAN AVE, YPSILANTI, MI 48198-5905
(734) 482-2550
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302040168
MI
Other
Enumeration date
03/12/2016
Last updated
03/12/2016
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