Individual
DR. DAVIDE IACOBELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16510 19 MILE RD, CLINTON TOWNSHIP, MI 48038
(586) 263-7200
(586) 286-8007
Mailing address
16510 19 MILE RD, CLINTON TOWNSHIP, MI 48038
(586) 263-7200
(586) 286-8007
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301045230
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1044574
—
MI
Enumeration date
01/03/2006
Last updated
09/25/2012
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