Fazzalari, Franco L

Fazzalari, Franco L is an individual health care provider with primary practice located at 311 Mack Ave Ste 64100 , Detroit MI 48201-2466. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Fazzalari, Franco L can be contacted via phone (313) 832-0650.

Contact Information

Primary practice address
311 Mack Ave Ste 64100 Detroit MI 48201-2466
Phone: (313) 832-0650
Fax: (313) 993-0447
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 4301056091 Michigan
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301056091 Michigan

Profile Details

NPI number 1457458929
LBN Legal business name Fazzalari, Franco L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2006
Last updated Oct 22nd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457458929 NPPES
Michigan MEDICAID 4649218

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