Individual
DR. LOUIS ALFRED PETRUCCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9966 HAWTHORNE GLEN DR, GROSSE ILE, MI 48138-2100
(734) 552-1561
Mailing address
9966 HAWTHORN GLEN, GROSSE ILE, MI 48138-2100
(734) 552-1561
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
5315026105
MI
Other
Enumeration date
05/01/2007
Last updated
09/07/2017
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