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1164708699
OWEN T. WEIDIG
PORT HURON, MI
NPI
1164708699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: MI 5302410763)
Enumeration Date
2011-10-28
Last Update Date
2020-01-23
Business Address
Mr. OWEN T. WEIDIG RPh
1215 24TH ST
PORT HURON, MI 48060-4812
Phone number: 810-987-7155
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Mailing Address
Mr. OWEN T. WEIDIG RPh
1617 10TH ST
PORT HURON, MI 48060-5844
Phone number: 810-987-5083
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