Organization
JEFFREY E. PUCCIO M.D., P.C.
Active
Organization
JEFFREY E. PUCCIO M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY E PUCCIO M.D. (PRESIDENT)
(313) 277-4177
Entity
Organization
Contact information
Practice address
2021 MONROE ST, SUITE 101, DEARBORN, MI 48124-2926
(313) 277-4177
(313) 277-4157
Mailing address
2021 MONROE ST, SUITE 101, DEARBORN, MI 48124-2926
(313) 277-4177
(313) 277-4157
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301052835
MI
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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