Individual
ABHIJIT DATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5634 FORDHAM CIR APT 204, CANTON, MI 48187-3353
(734) 981-1707
Mailing address
5634 FORDHAM CIR APT 204, CANTON, MI 48187-3353
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302042527
MI
Other
Enumeration date
01/30/2016
Last updated
01/30/2016
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