Individual
BENYAMEEN NISSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
42481 W 13 MILE RD, NOVI, MI 48377-2009
(248) 668-8208
Mailing address
42481 W 13 MILE RD, NOVI, MI 48377-2009
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302047754
MI
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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