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Individual

DEREK WEIDMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1555 DEMILLE RD, LAPEER, MI 48446-4149
(810) 667-8110
Mailing address
1555 DEMILLE RD, LAPEER, MI 48446-4149

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302039922
MI

Other

Enumeration date
03/02/2016
Last updated
03/02/2016
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