Individual
MR. JEFFREY ALLAN BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS PHARM
Contact information
Practice address
600 DENMARK ST, BALDWIN, MI 49304-7500
(231) 745-4648
Mailing address
9630 BLACKHAWK TRL, HOWARD CITY, MI 49329-8742
(231) 937-7578
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
5302027791
MI
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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