Basic Information
| Provider Information | |||||||||
| NPI: | 1558412353 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOELZER | ||||||||
| FirstName: | MARION | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3601 W. 13 MILE ROAD, 400 FSC | ||||||||
| Address2: | PHYSICIAN CONTRACT SERVICES | ||||||||
| City: | ROYAL OAK | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480736769 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2484232410 | ||||||||
| FaxNumber: | 2484232576 | ||||||||
| Practice Location | |||||||||
| Address1: | 3601 W. 13 MILE ROAD | ||||||||
| Address2: | EMERGENCY DEPARTMENT | ||||||||
| City: | ROYAL OAK | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480736769 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2488985000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/16/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 4301063841 | MI | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.