Individual
DR. DALE MICHELLE MAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
375 BRIARWOOD CIR BLDG 3, ANN ARBOR, MI 48108-1605
(734) 998-7207
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301075274
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4592483
—
MI
Enumeration date
04/03/2006
Last updated
01/28/2020
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