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Dr. Louis Alfred Petrucco, MD
Allergy & Immunology (Internal Medicine) Physician in Grosse Ile, Michigan
NPI 1770704454

Louis Alfred Petrucco is an Allergy & Immunology (Internal Medicine) Physician based in Grosse Ile, MI and is specialized in Allergy & Immunology. Louis Alfred Petrucco practices in Grosse Ile, MI and has the professional credentials of MD. The NPI Number for Louis Alfred Petrucco is 1770704454 and holds a License No. 5315026105 (Michigan).

The current practice location address for Louis Alfred Petrucco is 9966 Hawthorne Glen Dr, Grosse Ile, MI and can be reached out via phone at 734-552-1561.

Location: 9966 Hawthorne Glen Dr, Grosse Ile, MI, 48138-2100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770704454
Provider Name
Louis Alfred Petrucco
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
9966 Hawthorne Glen Dr, Grosse Ile, MI, 48138-2100
Phone Number
734-552-1561
Fax Number
Provider Enumeration Date
05/01/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9966 Hawthorne Glen Dr
City
Grosse Ile
State
Michigan
Zip
48138-2100
Phone Number
734-552-1561
Fax Number
person
Provider Business Mailing Address Details
Address
9966 Hawthorne Glen Dr
City
Grosse Ile
State
Michigan
Zip
48138-2100
Phone Number
734-552-1561
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Allergy & Immunology
Taxonomy
207RA0201X
License No.
5315026105 (Michigan)
Definition
An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.
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