Individual
JUANA NICOLL CAPIZZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1801 BRIARWOOD CIRCLE, ANN ARBOR, MI 48108
(734) 998-7390
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
41036
IA
207Q00000X
Family Medicine Physician
Primary
4301116186
MI
207QG0300X
Geriatric Medicine (Family Medicine) Physician
41036
IA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
4301116186
MI
Other
Enumeration date
04/19/2010
Last updated
02/12/2020
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