Individual
MR. MARK KNOWLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
334 CHICAGO DR, T-0399, JENISON, MI 49428-9244
(616) 457-2730
(616) 457-2730
Mailing address
334 CHICAGO DR, T-0399, JENISON, MI 49428-9244
(616) 457-2730
(616) 457-2730
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302034016
MI
Other
Enumeration date
06/03/2011
Last updated
06/03/2011
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