Michael R Dewitt, RPH
Individual provider Active NPI Pharmacist · Dowagiac, MI
NPI 1689705444 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1689705444
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- Practice address
- 56151 M51 South
Dowagiac, MI 49047 - Phone
- (269) 782-4511
- Fax
- (269) 782-9899
- NPI assigned
- Mar 7, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 530202215 | MI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | MI | Yes |
Addresses
Primary practice location
56151 M51 South
Dowagiac, MI 49047
Mailing address
1893 Anderson Road
Cassopolis, MI 49031
Phone (269) 445-3533
Other providers in Dowagiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.