Individual
FADI N ANONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
640 N MILFORD RD, MILFORD, MI 48381-1534
(248) 676-2497
Mailing address
5829 PERRYTOWN DR, WEST BLOOMFIELD, MI 48322-1510
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302042123
MI
Other
Enumeration date
12/15/2017
Last updated
12/15/2017
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