Keith Allan Misiak

NPI #1093209587 in Alpena, Michigan

Provider Information

NPI Number: 1093209587
Entity Type: Individual
Name: Keith Allan Misiak
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jun 18, 2018
Last Updated: Jun 18, 2018

Practice Location

Address: 2236 US HIGHWAY 23 S
City: Alpena
State: Michigan
ZIP Code: 49707-4544

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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