Brian R. Derderian
Technician/Technologist in Shelby Township, MI(View on Map)
Full Name
Brian Robert Derderian
NPI Number
1356090021
NPI Type
Individual Provider
Gender
Male
Enumeration Date
03/21/2022
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
49970 VAN DYKE AVE
49970 VAN DYKE AVE
City
Shelby Township
Shelby Township
State
MI
MI
Postal Code
48317-1347
48317-1347
Country
US
US
Telephone Number
(586) 991-6596
(586) 991-6596
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/21/2022