Individual
DR. BRAD VENHUIZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
747 INDIAN BOUNDARY RD, CHESTERTON, IN 46304-1518
(219) 926-8723
Mailing address
747 INDIAN BOUNDARY RD, CHESTERTON, IN 46304-1518
(219) 926-8723
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.297932
IL
183500000X
Pharmacist
Primary
26025908A
IN
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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