Individual
DR. MARY ALONZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
9365 N HAGGERTY RD, PLYMOUTH, MI 48170-4622
(734) 459-9260
Mailing address
6346 ROSE BLVD, WEST BLOOMFIELD, MI 48322-2290
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101007379
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3558200335
BLUECROSS/BLUESHIELD
MI
Enumeration date
09/07/2005
Last updated
01/14/2013
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