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Individual

MR. KAUTILYA R PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM D

Contact information

Practice address
29451 PLYMOUTH RD, LIVONIA, MI 48150-2112
(734) 793-0638
(734) 793-0648
Mailing address
25925 MICHIGAN AVE, INKSTER, MI 48141-2497
(313) 516-1777
(734) 793-0648

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302032615
MI

Other

Enumeration date
06/08/2011
Last updated
06/08/2011
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