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