Individual
ANTHONY IACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22987 W 13 MILE RD, BEVERLY HILLS, MI 48025-4447
(248) 551-9090
Mailing address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301092602
MI
208600000X
Surgery Physician
Primary
4301092602
MI
Other
Enumeration date
07/17/2008
Last updated
10/21/2020
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