Individual
GARY EDWARD BATES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1104 E FRONT ST, TRAVERSE CITY, MI 49686-2927
(231) 941-5332
Mailing address
1104 E FRONT ST, TRAVERSE CITY, MI 49686-2927
(231) 941-5332
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5303043529
MI
Other
Enumeration date
12/26/2022
Last updated
12/26/2022
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