Individual
LAWRENCE CZUBAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2101 US 131, KALKASKA, MI 49646-8821
(231) 258-9114
(855) 235-1321
Mailing address
2101 US 131, KALKASKA, MI 49646-8821
(231) 258-9114
(855) 235-1321
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302410482
MI
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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