Individual
MARCOS CONTRERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1816 FRANKLIN ST, MICHIGAN CITY, IN 46360-4504
(219) 874-2544
Mailing address
170 DUNEWOOD DR LOT 70, MICHIGAN CITY, IN 46360-1984
(815) 579-6180
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
67036628A
IN
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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