Organization
CHRISTOPHER IACOBELLI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER IACOBELLI MD (SOLE MEMBER)
(810) 714-5100
Entity
Organization
Contact information
Practice address
14272 N FENTON RD, FENTON, MI 48430-1544
(810) 714-5100
(810) 714-5101
Mailing address
14272 N FENTON RD, FENTON, MI 48430-1544
(810) 714-5100
(810) 714-5101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301074411
MI
Other
Enumeration date
05/25/2011
Last updated
11/19/2013
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