Individual
FADDY MATTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1843 E 8 MILE RD, HAZEL PARK, MI 48030-2639
(586) 755-3046
Mailing address
1843 E 8 MILE RD, HAZEL PARK, MI 48030-2639
(586) 755-3046
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302043153
MI
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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