Brian Robert Derderian
Brian Robert Derderian is a Technician/Technologist in Shelby Township, Michigan. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
49970 Van Dyke AveShelby Township, MI 48317-1347
Phone: (586) 991-6596
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Technician/Technologist (primary) | Taxonomy 156F00000X |
|---|
Record details
| NPI number | 1356090021 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 21, 2022 |
| Last updated in NPPES | March 21, 2022 |
| Certification date | March 21, 2022 |
| Mailing address | 49970 Van Dyke Ave, Shelby Township, MI 48317-1347 |
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