Provider Demographics
NPI:1033983598
Name:ARTZBERGER, EMILY MARIE (JD)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:MARIE
Last Name:ARTZBERGER
Suffix:
Gender:F
Credentials:JD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1040 GROVE AVE
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48067-1407
Mailing Address - Country:US
Mailing Address - Phone:248-953-7098
Mailing Address - Fax:
Practice Address - Street 1:211 W GANSON ST STE 105
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49201-1262
Practice Address - Country:US
Practice Address - Phone:517-990-0279
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-14
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator