Individual
DR. ADRIANNE FAZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
2799 W GRAND BLVD, AUDIOLOGY K-8, DETROIT, MI 48202-2608
(313) 916-5701
Mailing address
2799 W GRAND BLVD, AUDIOLOGY K-8, DETROIT, MI 48202-2608
(313) 916-5701
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000061
MI
231HA2400X
Assistive Technology Practitioner Audiologist
1601000061
MI
237600000X
Audiologist-Hearing Aid Fitter
1601000061
MI
Other
Enumeration date
09/12/2006
Last updated
04/13/2009
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