# MICHAEL DAVID PURICELLI

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1679834089
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | 73082-20 | WI | — |
| 207YP0228X | Pediatric Otolaryngology Physician | 04-49773 | KS | — |
| 207YP0228X | Pediatric Otolaryngology Physician | 2024039721 | MO | Yes |
| 207YX0901X | Otology & Neurotology Physician | 04-49773 | KS | — |
| 207YX0901X | Otology & Neurotology Physician | 2024039721 | MO | — |

## Other

- **Enumeration date:** 06/01/2012
- **Last updated:** 10/02/2024