person
Mr. John J Iacobucci, MD
Plastic and Reconstructive Surgery Physician in Grand Rapids, Michigan
NPI 1689761439

John J Iacobucci is a Plastic and Reconstructive Surgery Physician based in Grand Rapids, MI and is specialized in Plastic and Reconstructive Surgery. John J Iacobucci practices in Grand Rapids, MI and has the professional credentials of MD. The NPI Number for John J Iacobucci is 1689761439 and holds a License No. 4301047493 (Michigan).

The current practice location address for John J Iacobucci is 221 Michigan St Ne Ste 300, Grand Rapids, MI and can be reached out via phone at 616-391-1909 and via fax at 616-391-8612.

Location: 221 Michigan St Ne Ste 300, Grand Rapids, MI, 49503-2560
person
Provider Profile Details
NPI Number
1689761439
Provider Name
John J Iacobucci
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
221 Michigan St Ne Ste 300, Grand Rapids, MI, 49503-2560
Phone Number
616-391-1909
Fax Number
616-391-8612
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3397368 05 MI
institution
Provider Business Practice Location Address Details
Address
221 Michigan St Ne Ste 300
City
State
Zip
49503-2537
Phone Number
616-391-1909
Fax Number
616-391-8612
person
Provider Business Mailing Address Details
Address
221 Michigan St Ne Ste 300
City
State
Zip
49503-2537
Phone Number
616-391-1909
Fax Number
616-391-8612
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
4301047493 (Michigan)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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