Provider Demographics
NPI:1225334220
Name:MILESKI, ALAN JOSEPH
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:JOSEPH
Last Name:MILESKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2485 W GLENLORD RD
Mailing Address - Street 2:
Mailing Address - City:STEVENSVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49127-9557
Mailing Address - Country:US
Mailing Address - Phone:269-429-7044
Mailing Address - Fax:269-429-7065
Practice Address - Street 1:2485 W GLENLORD RD
Practice Address - Street 2:
Practice Address - City:STEVENSVILLE
Practice Address - State:MI
Practice Address - Zip Code:49127-9557
Practice Address - Country:US
Practice Address - Phone:269-429-7044
Practice Address - Fax:269-429-7065
Is Sole Proprietor?:No
Enumeration Date:2011-02-08
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302022340183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist