Individual
MR. DENNIS GERARD VANDECANDELAERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
4646 JOHN R, DETROIT, MI 48201
(313) 576-3762
(313) 576-1105
Mailing address
5103 KENSINGTON, DETRIOT, MI 48224
(313) 576-3762
(313) 576-1105
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302025771
MI
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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