Individual
DR. MARC L MICUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
2589 WASHINGTON RD STE 410, UPPER ST CLAIR, PA 15241-2566
(412) 833-1101
(412) 833-1075
Mailing address
2589 WASHINGTON RD STE 410, UPPER ST CLAIR, PA 15241-2566
(412) 833-1101
(412) 833-1075
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
009131
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013693110001
—
PA
Enumeration date
04/12/2006
Last updated
01/23/2023
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