Individual
DR. PETER R FURICCHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
444 W. FRANK ST., BIRMINGHAM, MI 48009
(248) 593-8098
Mailing address
444 W. FRANK ST., BIRMINGHAM, MI 48009
(248) 593-8098
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
38382
TN
208D00000X
General Practice Physician
4301063789
MI
Other
Enumeration date
06/07/2006
Last updated
09/23/2016
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