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1184615767
CHARLOTTE M LIIOI HARTZELL
SOUTHFIELD, MI
NPI
1184615767
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207W00000X Ophthalmology
(Licence: MI 4301052708)
Enumeration Date
2005-11-02
Last Update Date
2019-10-16
Business Address
DR. CHARLOTTE M LIIOI HARTZELL MD
26400 W 12 MILE RD STE 60
SOUTHFIELD, MI 48034-1774
Phone number: 248-594-6702
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Mailing Address
DR. CHARLOTTE M LIIOI HARTZELL MD
400 MACK AVE. SUITE 2 WEST - CREDENTIALING DEPT.
DETROIT, MI 48201-2136
Phone number: 313-448-9006
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