Individual
JOSEPH GERALD LUCIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
34301 23 MILE RD STE 100, CHESTERFIELD, MI 48047-4432
(586) 725-1770
(586) 725-4080
Mailing address
34301 23 MILE RD STE 100, CHESTERFIELD, MI 48047-4432
(586) 725-1770
(586) 725-4080
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101026238
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2019
Last updated
06/24/2022
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