Provider Demographics
NPI:1598703688
Name:ROZZELLE, ARLENE A (MD)
Entity Type:Individual
Prefix:
First Name:ARLENE
Middle Name:A
Last Name:ROZZELLE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1560 E MAPLE RD
Mailing Address - Street 2:SUITE 400 - CREDENTIALING
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-1138
Mailing Address - Country:US
Mailing Address - Phone:313-745-0247
Mailing Address - Fax:313-993-8783
Practice Address - Street 1:3901 BEAUBIENCHILDREN'S
Practice Address - Street 2:CHILDREN'S HOSPITAL PLASTIC SURGERY
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2119
Practice Address - Country:US
Practice Address - Phone:313-745-0247
Practice Address - Fax:313-993-8783
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2016-11-09
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Provider Licenses
StateLicense IDTaxonomies
MI4301066574208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery