Individual
DR. GENE CAICCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
11900 E 12 MILE RD, SUITE 102, WARREN, MI 48093-3400
(586) 573-7470
(586) 573-0850
Mailing address
11900 E 12 MILE RD, SUITE 102, WARREN, MI 48093-3400
(586) 573-7470
(586) 573-0850
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
GC001745
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
383523897
PPOM
MI
05
—
4246887
—
MI
01
—
5901001745
BCBSM
MI
Enumeration date
07/26/2005
Last updated
10/27/2011
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