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Individual

MICHELLE MARIE PROSKOVEC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
4825 JOHNSON AVE NW, CEDAR RAPIDS, IA 52405-4207
(319) 396-7419
(319) 396-5916
Mailing address
3410 USHERS RIDGE BLVD NE, CEDAR RAPIDS, IA 52411-2202
(319) 310-1008

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19327
IA

Other

Enumeration date
01/31/2020
Last updated
01/31/2020
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