Individual
DR. JOSEPH R PERNICONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3220 DISCOVERY DR STE 100, ROOM A204, LANSING, MI 48910-8556
(517) 975-8930
(517) 337-4985
Mailing address
804 SERVICE RD STE A109B, EAST LANSING, MI 48824-7015
(517) 975-8930
(517) 337-4985
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5101007728
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114975745
—
MI
05
—
2900608
—
MI
Enumeration date
05/05/2006
Last updated
07/06/2023
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