Individual
FRANCO L FAZZALARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
311 MACK AVE STE 64100, DETROIT, MI 48201-2466
(313) 832-0650
(313) 993-0447
Mailing address
311 MACK AVE STE 64100, DETROIT, MI 48201-2466
(313) 832-0650
(313) 993-0447
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301056091
MI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
4301056091
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4649218
—
MI
Enumeration date
09/19/2006
Last updated
10/22/2020
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