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General NPI Number Information
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NPI Number | 1386504025
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Entity Type | Individual
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Provider Name | ADAM RETTIG PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/14/2025
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 15945 19 MILE RD STE 202F
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48038-1147
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Country | US
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Telephone | 586-981-0360
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Fax |
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Provider Business Mailing Address
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Address Line | 34511 BEACONSFIELD ST
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48035-3308
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302417967
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License Number State | MI
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