PETER SCUCCIMARRI, MD, FAAFP, PC
Osteopathic Medicine at Plymouth Rd, Ann Arbor, MI

License number
Michigan 4301047163
Category
Osteopathic Medicine
Type
Geriatric Medicine
Owner
Name: DR. PETER SCUCCIMARRI M.D.
Title: PRESIDENT
Phone: (734) 761-2900
Address
Address
3055 Plymouth Rd SUITE 107, Ann Arbor, MI 48105
National Provider ID: 1215954292
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PETER SCUCCIMARRI, M.D., FAAFP, PC

Ann Arbor, MI

Status:
Inactive
Registration:
Nov 26, 1997
Addresses:
Ann Arbor, MI 48105 (Physical)
Michigan (Mailing)
State ID:
503124
Business type:
Domestic Professional Service Corporation
Expiration:
7-15-2007
Agent:
Peter Scuccimarri Md

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