MARK MITTLESTAT

LIVONIA, MI
NPI1861970204
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: MI  5302022896)
Enumeration Date2018-07-29
Last Update Date2018-07-29
Business Address
MARK MITTLESTAT
31320 FIVE MILE RD
LIVONIA, MI 48154-3680
Phone number: 734-427-3430
Mailing Address
MARK MITTLESTAT
31320 FIVE MILE RD
LIVONIA, MI 48154-3680
Phone number: 734-427-3430
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