Organization
ANTHONY IACCO MD PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY IACCO MD (OWNER)
(734) 657-2409
Entity
Organization
Contact information
Practice address
3535 W 13 MILE RD, SUITE 204, ROYAL OAK, MI 48073-6770
(248) 551-9095
(248) 551-9080
Mailing address
3535 W 13 MILE RD, SUITE 204, ROYAL OAK, MI 48073-6770
(248) 551-9095
(248) 551-9080
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301092602
MI
Other
Enumeration date
04/03/2015
Last updated
04/03/2015
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