Individual
MR. JOSEPH D SECRETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGNP
Contact information
Practice address
47601 GRAND RIVER AVE, NOVI, MI 48374-1233
(248) 465-3372
(248) 465-4765
Mailing address
PO BOX 14129, BELFAST, ME 04915-4032
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
2024000132
MO
363LG0600X
Gerontology Nurse Practitioner
Primary
47044413636
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124894050
NPI
—
Enumeration date
12/01/2023
Last updated
07/18/2024
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