Individual
DR. CHERYL M MAZZARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19900 E 10 MILE RD STE 102, SAINT CLAIR SHORES, MI 48080-4412
(586) 776-3366
(586) 776-3369
Mailing address
19900 E 10 MILE RD STE 102, SAINT CLAIR SHORES, MI 48080-4412
(586) 776-3366
(586) 776-3369
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301051598
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2605015512
BCBS
MI
Enumeration date
07/21/2006
Last updated
10/11/2012
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