Mary Lu Angelilli, MD
Pediatrics in Detroit, MI. Individual provider (NPI-1).
NPI number1982642005
StatusActive
Last updated in NPPESJan 20, 2017
Details
- NPI
- 1982642005
- Entity type
- Individual (NPI-1)
- Name
- Mary Lu Angelilli
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2006
- Last updated
- Jan 20, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 4301044538 | MI | Yes |
Practice location
3950 Beaubien - 1st FlChildrens Hospital Mi Ambulatory Peds (2nd Floor)
Detroit, MI 48201
Phone 313-832-8290 · Fax 313-993-0081
Mailing address
4201 St. Antoine - Uhc 5d Mailbox 226University Pediatricians
Detroit, MI 48201-2153
Phone 313-745-4405 · Fax 313-966-0665
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