Individual
MR. CHARLES J KINZEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
6404 WESTERN AVE., GLEN ARBOR, MI 49636
(231) 334-6608
(231) 334-6610
Mailing address
334 N CENTER ST, BEULAH, MI 49617-9610
(231) 882-0156
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302019537
MI
Other
Enumeration date
11/08/2005
Last updated
07/08/2007
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