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Individual

ANTHONY IACCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
31815 SOUTHFIELD RD STE 17, BEVERLY HILLS, MI 48025-5471
(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
07/31/2026
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