Individual
JOHN WALLACE WEIH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3850 N LONG LAKE RD, TRAVERSE CITY, MI 49684-9601
(231) 947-2880
(231) 947-2907
Mailing address
4010 HOLIDAY NORTH CT, TRAVERSE CITY, MI 49686-3763
(231) 938-3316
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302022343
MI
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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