Individual
CATHERINE WIECKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45460 MARKET ST, SHELBY TWP, MI 48315-6224
(586) 580-2002
Mailing address
45460 MARKET STREET, SHELBY TWP, MI 48315
(586) 580-2002
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302032665
MI
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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