Individual
NANCY M HARTZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1101 N UNIVERSITY AVE, ANN ARBOR, MI 48109-1085
(734) 647-0000
Mailing address
4022 W RAUCH RD, PETERSBURG, MI 49270-9623
(419) 410-0926
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901016231
MI
1223G0001X
General Practice Dentistry
19496 OH
OH
Other
Enumeration date
01/11/2007
Last updated
09/11/2021
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