Individual
MICHAEL A PATTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
823 GOLF DR, PONTIAC, MI 48341-2354
(313) 600-6464
Mailing address
6751 W DARTMOOR RD, WEST BLOOMFIELD, MI 48322-4320
(336) 413-2846
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
5302413616
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302413616
PHARMACIST LICENSE
MI
01
—
5315228364
CONTROLLED SUBSTANCE LICENSE
MI
Enumeration date
08/18/2021
Last updated
08/18/2021
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