person
Jodi Iacco
Surgical Physician Assistant in Detroit, Michigan
NPI 1801162532

Jodi Iacco is a Surgical Physician Assistant based in Detroit, MI and is specialized in Surgical. Jodi Iacco practices in Detroit, MI. The NPI Number for Jodi Iacco is 1801162532 and holds a License No. 5601006048 (Michigan).

The current practice location address for Jodi Iacco is 22201 Moross Rd, Detroit, MI and can be reached out via phone at 313-343-3360.

Location: 22201 Moross Rd, Detroit, MI, 48236-2169
person
Provider Profile Details
NPI Number
1801162532
Provider Name
Jodi Iacco
Credential
Provider Entity Type
Individual
Gender
Female
Address
22201 Moross Rd, Detroit, MI, 48236-2169
Phone Number
313-343-3360
Fax Number
Provider Enumeration Date
03/27/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
22201 Moross Rd
City
State
Zip
48236-2169
Phone Number
313-343-3360
Fax Number
person
Provider Business Mailing Address Details
Address
22201 Moross Rd
City
State
Zip
48236-2169
Phone Number
313-343-3360
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
5601006048 (Michigan)
Definition
Definition to come...
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