JEFFREY E. PUCCIO M.D., P.C.
Osteopathic Medicine at Monroe St, Dearborn, MI

License number
Michigan 4301052835
Category
Osteopathic Medicine
Type
Gastroenterology
Owner
Name: JEFFREY E PUCCIO M.D.
Title: PRESIDENT
Phone: (313) 277-4177
Address
Address
2021 Monroe St SUITE 101, Dearborn, MI 48124
National Provider ID: 1619245461
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JEFFREY E. PUCCIO, M.D., PC

Dearborn, MI

Industry:
Medical Doctor's Office
Doing business as:
Jeffrey E Puccio MD
Registration:
May 14, 1993
Phone:
(313) 277-4177 (Phone)
Addresses:
2021 Monroe SUITE 101, Dearborn, MI 48124 (Physical)
Michigan (Mailing)
State ID:
253258
Business type:
Domestic Professional Service Corporation
Office Managers:
Jeffrey E. Puccio (Gastroenterology, Medical Doctor, President),Lisa M. Wozniak (Office Manager)
Agent:
Jeffrey E. Puccio, M.d
Categories:
Gastroenterology Physicians & Surgeons, Physicians & Surgeons

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