Individual
IFEDAPO MICHAEL SONUGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
1919 BOSTON ST SE, GRAND RAPIDS, MI 49506-4160
(616) 252-7024
Mailing address
272 INDIAN BLFS NE, SPARTA, MI 49345-8487
(616) 887-0767
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302034399
MI
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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