Organization Name: | CAROLE B. RIZZO, D.O. PLLC |
NPI Number: | 1053326801 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAROLE B RIZZO (OWNER) |
Mailing Address: | 1750 S. Telegraph Ste 104 Bloomfield Hills |
State: | MI US |
Postal Code: | 483020179 |
Phone Number: | 2483388900 |
Fax Number: | 2483388934 |
NPI Enumeration Date: | 07/30/2006 |
NPI Last Update Date: | 06/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | CR007781 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |