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Individual

GEORGE PAPANASTASSIOU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
22950 VAN DYKE AVE, WARREN, MI 48089-2346
(586) 759-1391
(586) 759-4347
Mailing address
22950 VAN DYKE AVE, WARREN, MI 48089-2346
(586) 759-1391
(586) 759-4347

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302030271
MI

Other

Enumeration date
10/24/2011
Last updated
10/24/2011
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