Provider Demographics
NPI:1306008586
Name:NAZZARO, WILLIAM JOSEPH III (DO)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JOSEPH
Last Name:NAZZARO
Suffix:III
Gender:M
Credentials:DO
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Mailing Address - Street 1:37771 SCHOENHERR RD STE 101
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48312-2302
Mailing Address - Country:US
Mailing Address - Phone:586-698-1200
Mailing Address - Fax:586-275-3005
Practice Address - Street 1:37771 SCHOENHERR RD STE 101
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48312-2302
Practice Address - Country:US
Practice Address - Phone:586-698-1200
Practice Address - Fax:586-275-3005
Is Sole Proprietor?:No
Enumeration Date:2008-06-27
Last Update Date:2020-12-15
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Provider Licenses
StateLicense IDTaxonomies
MI5101017705207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine