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1710091418
TIMOTHY J MIODEK
SAINT CLAIR SHORES, MI
NPI
1710091418
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: MI 5302030353)
Enumeration Date
2006-08-18
Last Update Date
2007-07-08
Business Address
Mr. TIMOTHY J MIODEK
21000 E 12 MILE RD SUITE 124
SAINT CLAIR SHORES, MI 48081-1116
Phone number: 586-447-5030
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Mailing Address
Mr. TIMOTHY J MIODEK
12853 CORBIN DR
STERLING HTS, MI 48313-3311
Phone number: 586-254-9551
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