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Individual
SALVATORE BERTUCCI
Active
Individual
SALVATORE BERTUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
5101023685
MI
208D00000X
General Practice Physician
Primary
5101023685
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
06/30/2015
Last updated
02/13/2018
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