Individual
DR. CHARLOTTE M LIIOI HARTZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
26400 W 12 MILE RD STE 60, SOUTHFIELD, MI 48034-1774
(248) 594-6702
(248) 594-6738
Mailing address
400 MACK AVE., SUITE 2 WEST - CREDENTIALING DEPT., DETROIT, MI 48201-2136
(313) 448-9006
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301052708
MI
Other
Enumeration date
11/02/2005
Last updated
10/16/2019
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