Individual
DR. SAMUEL J MUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15590 W 13 MILE RD, SUITE A, BEVERLY HILLS, MI 48025-5642
(248) 283-1115
(248) 283-1119
Mailing address
15590 W 13 MILE RD, SUITE A, BEVERLY HILLS, MI 48025-5642
(248) 283-1115
(248) 283-1119
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
067463
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3269170
—
MI
Enumeration date
08/02/2005
Last updated
06/29/2009
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