Individual
SHELLY J NEITZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2038 NORWAY RD, ANN ARBOR, MI 48104-3645
(734) 904-0301
Mailing address
2038 NORWAY RD, ANN ARBOR, MI 48104-3645
(734) 904-0301
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
SN053407
MI
207RP1001X
Pulmonary Disease Physician
Primary
SN053407
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
423964010
—
MI
Enumeration date
03/23/2006
Last updated
08/02/2010
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