Individual
DR. BRANDON PAUL MARENTETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
30550 STEPHENSON HWY, MADISON HEIGHTS, MI 48071-1611
(248) 616-0064
Mailing address
17475 DOLEEN DR, MACOMB, MI 48044-4149
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302043633
MI
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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