Individual
BAN GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40399 GRAND RIVER AVE, NOVI, MI 48375-2123
(248) 536-1545
(248) 536-1570
Mailing address
40399 GRAND RIVER AVE STE 110, NOVI, MI 48375-2123
(248) 536-1545
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302030976
MI
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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