Individual
JASWANT PAL DHALIWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
35250 S GRATIOT AVE, CLINTON TWP, MI 48035-2843
(586) 791-1550
Mailing address
49136 W CENTRAL PARK, SHELBY TOWNSHIP, MI 48317-6335
(586) 662-0366
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302036947
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302036947
REGISTERED PHARMACIST LICENSE
MI
Enumeration date
07/09/2014
Last updated
07/09/2014
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