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Samuel J Mucci M.d.p.c.
Specialist in Beverly Hills, Michigan
NPI 1629240965

Samuel J Mucci M.d.p.c. is a Specialist based in Beverly Hills, MI. Samuel J Mucci M.d.p.c. practices in Beverly Hills, MI. The NPI Number for Samuel J Mucci M.d.p.c. is 1629240965 and holds a License No. 4301067463 (Michigan).

The current practice location address for Samuel J Mucci M.d.p.c. is 15590 W 13 Mile Rd, Beverly Hills, MI and can be reached out via phone at 248-283-1115 and via fax at 248-283-1119.

Location: 15590 W 13 Mile Rd, Beverly Hills, MI, 48025-5642
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629240965
Provider Name
Samuel J Mucci M.d.p.c.
Credential
Provider Entity Type
Organization
Address
15590 W 13 Mile Rd, Beverly Hills, MI, 48025-5642
Phone Number
248-283-1115
Fax Number
248-283-1119
Provider Enumeration Date
03/27/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2406314511 01 MI BCBSM
103269170 05 MI
institution
Provider Business Practice Location Address Details
Address
15590 W 13 Mile Rd
City
Beverly Hills
State
Michigan
Zip
48025-5642
Phone Number
248-283-1115
Fax Number
248-283-1119
person
Provider Business Mailing Address Details
Address
15590 W 13 Mile Rd
City
Beverly Hills
State
Michigan
Zip
48025-5642
Phone Number
248-283-1115
Fax Number
248-283-1119
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
4301067463 (Michigan)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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