Individual
MADYSEN MATTIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 US 41 W, ISHPEMING, MI 49849-3152
(906) 485-5592
Mailing address
1330 US 41 W, ISHPEMING, MI 49849-3152
(906) 485-5592
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302416421
MI
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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