Individual provider · Type 1 NPI

Dara Mazzarella, MD

Student in an Organized Health Care Education/Training Program · Ann Arbor, MI

NPI number 1275733776 Active

Practice location

1500 E. Medical Center Dr., 3116 Taubman Center, Spc 5368
Ann Arbor, MI 48109-5368

Mailing address

322 Village Green Blvd, #202
Ann Arbor, MI 48105-3621

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X4301090108 (MI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1275733776

Dara Mazzarella, MD's National Provider Identifier is 1275733776, issued on Jul 23, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ann Arbor, MI. The record was last updated on Jul 23, 2007.