Individual
CATHY FAKLER AZZARELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301111513
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427166313
—
MI
Enumeration date
08/29/2006
Last updated
05/13/2026
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