Individual
DR. JACK RICHARD TOCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
37555 GARFIELD ROAD, SUITE 125, CLINTON TOWNSHIP, MI 48036-3066
(586) 263-7150
(586) 263-3212
Mailing address
37555 GARFIELD ROAD, SUITE 125, CLINTON TOWNSHIP, MI 48036-3066
(586) 263-7150
(586) 263-3212
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
5101018917
MI
390200000X
Student in an Organized Health Care Education/Training Program
T200356738417
MI
Other
Enumeration date
06/08/2010
Last updated
10/05/2016
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