Individual
DAVID MARK DIFAZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
33333 6 MILE RD, LIVONIA, MI 48152-3265
(734) 513-5078
(734) 513-5102
Mailing address
33333 6 MILE RD, LIVONIA, MI 48152-3265
(734) 513-5078
(734) 513-5102
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302025677
MI
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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