Individual
STEVE DEMARCO WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 966-8230
Mailing address
4625 CHRYSLER DR, DETROIT, MI 48201-1953
(313) 974-9137
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5903010748
MI
Other
Enumeration date
03/04/2022
Last updated
03/04/2022
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