Individual
DR. BENJAMIN BRADLEY LACROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4900 M 72 E, WILLIAMSBURG, MI 49690-9455
(231) 534-9810
Mailing address
760 KINGSTON CT APT C3, TRAVERSE CITY, MI 49684-1481
(906) 440-9569
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302413716
MI
Other
Enumeration date
08/18/2021
Last updated
07/05/2023
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