Individual
MR. MADHAVAN DHADHUCHETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12037 S SAGINAW ST, GRAND BLANC, MI 48439-1440
(313) 288-5078
Mailing address
12037 S SAGINAW ST, GRAND BLANC, MI 48439-1440
(313) 288-5078
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302040427
MI
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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