Individual
MICHAEL PUCCINELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4300 W MAIN ST STE 21, DOTHAN, AL 36305-1058
(334) 699-7900
Mailing address
4300 W MAIN ST STE 21, DOTHAN, AL 36305-1058
(334) 699-7900
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
52146
AL
Other
Enumeration date
05/26/2020
Last updated
09/18/2025
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