Individual
DR. NESTOR J TRUCCONE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
43380 WOODWARD AVE, STE 105, BLOOMFIELD HILLS, MI 48302-5050
(248) 335-8500
(248) 335-5430
Mailing address
43380 WOODWARD AVE, STE 105, BLOOMFIELD HILLS, MI 48302-5050
(248) 335-8500
(248) 335-5430
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
4301035345
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2102476
—
MI
Enumeration date
03/09/2006
Last updated
07/08/2007
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