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Brian Robert Derderian
Technician/Technologist in Shelby Township, Michigan
NPI 1356090021

Brian Robert Derderian is a Technician/Technologist based in Shelby Township, MI. Brian Robert Derderian practices in Shelby Township, MI. The NPI Number for Brian Robert Derderian is 1356090021 and holds a License No. (Michigan).

The current practice location address for Brian Robert Derderian is 49970 Van Dyke Ave, Shelby Township, MI and can be reached out via phone at 586-991-6596.

Location: 49970 Van Dyke Ave, Shelby Township, MI, 48317-1347
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356090021
Provider Name
Brian Robert Derderian
Credential
Provider Entity Type
Individual
Gender
Male
Address
49970 Van Dyke Ave, Shelby Township, MI, 48317-1347
Phone Number
586-991-6596
Fax Number
Provider Enumeration Date
03/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
49970 Van Dyke Ave
City
Shelby Township
State
Michigan
Zip
48317-1347
Phone Number
586-991-6596
Fax Number
person
Provider Business Mailing Address Details
Address
49970 Van Dyke Ave
City
Shelby Township
State
Michigan
Zip
48317-1347
Phone Number
586-991-6596
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
-
Taxonomy
156F00000X
License No.
()
Definition
A broad category grouping different kinds of technologists and technicians. See individual definitions.
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