person
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
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
State
Zip
48317-1347
Phone Number
586-991-6596
Fax Number
person
Provider Business Mailing Address Details
Address
49970 Van Dyke Ave
City
State
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
License No.
()
Definition
A broad category grouping different kinds of technologists and technicians. See individual definitions.
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