MICHAEL ALFRED VANWASSHENOVA

MONROE, MI
NPI1457985780
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: MI  5302032982)
Enumeration Date2020-02-25
Last Update Date2020-02-25
Business Address
Dr. MICHAEL ALFRED VANWASSHENOVA PharmD
919 S MONROE ST
MONROE, MI 48161-1442
Phone number: 734-384-9559
Mailing Address
Dr. MICHAEL ALFRED VANWASSHENOVA PharmD
919 S MONROE ST
MONROE, MI 48161-1442
Phone number: 734-384-9559