Samuel J Mucci M.D.

NPI 1073514048 - Specialist - 174400000X

NPI Details
NPI 1073514048
Gender Male
Enumeration Date 08/02/2005
Last Updated 06/29/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
15590 W 13 MILE RD
SUITE A
BEVERLY HILLS MI, 48025-5642, US
Phone (248) 283-1115
Fax (248) 283-1119
Business Location
15590 W 13 MILE RD
SUITE A
BEVERLY HILLS MI, 48025-5642, US
Phone (248) 283-1115
Fax (248) 283-1119
Toxanomy
Taxonomy Code 174400000X
License State Michigan
License Number 067463
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According to our database, Dr. Samuel J Mucci M.D. NPI is 1073514048, taxonomy code is 174400000X and license number is 067463, license state is located at Michigan. Samuel J Mucci M.D. physically located at 15590 W 13 Mile Rd, Beverly Hills MI, 48025-5642. NPI Number Samuel J Mucci M.D. has the Individual type.

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1073514048 NPI number is provided on an as is basis without warranty of any kind. 1073514048 is maintained by the National Plan & Provider Enumeration System. The contents of Samuel J Mucci M.D. are for informational purposes only.