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Franco L Fazzalari, M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery) in Detroit, MI. Individual provider (NPI-1).

NPI number1457458929
StatusActive
Last updated in NPPESOct 22, 2020

Details

NPI
1457458929
Entity type
Individual (NPI-1)
Name
Franco L Fazzalari
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Sep 19, 2006
Certification date
Oct 22, 2020
Last updated
Oct 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)4301056091MIYes
208600000X Surgery4301056091MI

Practice location

311 Mack Ave Ste 64100
Detroit, MI 48201-2466

Phone 313-832-0650 · Fax 313-993-0447

Mailing address

311 Mack Ave Ste 64100
Detroit, MI 48201-2466

Phone 313-832-0650 · Fax 313-993-0447

Other practice locations

1500 E Medical Center Drive
3rd Floor Cardiovascular Center Recp C
Ann Arbor, MI 48109-5864

Phone 888-287-1082

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

Phone 248-898-6712

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