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Michael Mckenna, RPH
NPI 1184099624 · on the registry since 2015 · sole proprietor
Practice
- Address
- 45600 Utica Park Blvd
Utica, MI 48315 - Phone
- (586) 739-5472
- Fax
- (586) 739-5489
- Organisation at this address
- Sams East Inc
Sam'S Club OpticalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-12-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan