Individual
JULIE M IZZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
(313) 593-7500
(313) 593-8840
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-0307
(947) 522-0307
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
4704194315
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104304265
—
MI
01
—
383445481
COMMERCIAL INS
MI
01
—
420B41027
BLUE CROSS BLUE SHIELD
MI
Enumeration date
04/18/2006
Last updated
07/15/2022
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