Individual
FADI EZZEDDINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24900 SCHOENHERR RD, WARREN, MI 48089-4769
(586) 774-3385
Mailing address
24900 SCHOENHERR RD, WARREN, MI 48089-4769
(586) 774-3385
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302413962
MI
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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