Organization
CHARLOTTE LIIOI HARTZELL, M.D., P.C.
Active
Organization
CHARLOTTE LIIOI HARTZELL, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLOTTE LIIOI HARTZELL M.D. (PRESIDENT)
(313) 884-2009
Entity
Organization
Contact information
Practice address
2877 CROOKS RD, SUITE B, TROY, MI 48084-4717
(313) 318-8205
Mailing address
515 HEATHER LN, GROSSE POINTE WOODS, MI 48236-1509
(313) 884-2009
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301052708
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1806361411
BCBSM OF MICIGAN
MI
Enumeration date
09/06/2007
Last updated
02/06/2009
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