Individual
MR. JAMES CHRISTIAN MICHUTKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
550 MUNSON AVE, SUITE G100, TRAVERSE CITY, MI 49686-3580
(231) 935-8730
Mailing address
4484 AUDUBON DR, TRAVERSE CITY, MI 49686-3886
(231) 929-4691
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302031945
MI
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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