Individual
ANDREW R IZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3200 EAGLE PARK DR NE STE 102, GRAND RAPIDS, MI 49525-7057
(616) 285-9090
Mailing address
3200 EAGLE PARK DR NE STE 102, GRAND RAPIDS, MI 49525-7057
(616) 285-9090
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101023501
MI
Other
Enumeration date
06/22/2017
Last updated
07/24/2020
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