Search › Michigan › 207R00000X
Sally Azzo
NPI 1396132106 · on the registry since 2015 · sole proprietor
Practice
- Address
- 21816 W 11 Mile Rd
Southfield, MI 48076 - Phone
- (248) 375-4040
- Organisation at this address
- Dedicated Physicians Group Of Michigan Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Additional practice sites
- 4201 Saint Antoine St # 9c, Detroit, MI
- 50 N Perry St, Pontiac, MI
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 390200000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-06-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan