Individual
MR. JON DAVID NEBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R. PH.
Contact information
Practice address
130 E M35, GWINN, MI 49841-9159
(906) 346-0104
(906) 346-6422
Mailing address
130 E M35, GWINN, MI 49841-9159
(906) 346-0104
(906) 346-6422
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302025133
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302025133
PHARMACIST LICENSE
MI
Enumeration date
05/18/2009
Last updated
05/18/2009
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