Individual
DANIEL JAMES FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
33333 6 MILE RD, LIVONIA, MI 48152-3265
(734) 513-5078
Mailing address
66 ADELAIDE ST APT 53, DETROIT, MI 48201-3155
(586) 438-6272
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5351011347
MI
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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