SearchMichigan207RA0201X

Louis Petrucco, M.D

NPI 1770704454 · on the registry since 2007 · sole proprietor

Practice

Address
9966 Hawthorne Glen Dr
Grosse Ile, MI 48138
Phone
(734) 552-1561

Registry record

Primary taxonomy
207RA0201X
207RA0201X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-09-07

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