Female

Lilli M. Petruzzelli MD, PHD

Full Name

Lilli M Petruzzelli MD, PHD

NPI Number

1386722015

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/01/2006

Specialties

(Taxonomies)

Code

207RH0000X
207R00000X

Primary Taxonomy

No
No

Licenses

State

Michigan

License Number

4301062812

Contact
Information

Purpose

Mailing
Location

Address

3621 S STATE ST
1500 EAST MEDICAL CENTER DR

City

Ann Arbor
Ann Arbor

State

MI
MI

Postal Code

48108
48109-0912

Country

US
US

Telephone Number

(734) 936-2047
(734) 936-9020

Identifiers

Identifier

3010074

Identifier State

MI

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address