Individual
PHILOMENA MARIE COLUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
701 N OTSEGO AVE, GAYLORD, MI 49735-1558
(989) 731-7760
(989) 731-7748
Mailing address
829 N CENTER AVE, SUITE 298, GAYLORD, MI 49735-1595
(989) 731-7708
(989) 731-7929
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
03043
KY
Other
Enumeration date
03/20/2007
Last updated
11/15/2013
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