Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JOHN J IACOBUCCI, M.D.
ActiveMR. JOHN J IACOBUCCI, M.D. is a Plastic and Reconstructive Surgery healthcare provider located in GRAND RAPIDS, Michigan. NPI 1689761439 is currently active in the NPPES registry. Verify at CMS.
Plastic and Reconstructive Surgery · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1689761439
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 5, 2006 (19.872753113478 yrs)
- Last Updated
- Jun 10, 2020
- License
-
4301047493 (MI)
Practice Information
- Address
-
221 MICHIGAN ST NE STE 300GRAND RAPIDS, MI, 495032537Browse MI providers · Browse ZIP 49503
- Phone
- 6163911909
- Fax
- 6163918612
- Primary Specialty
-
Plastic and Reconstructive Surgery
2086S0122X
Other Plastic and Reconstructive Surgery Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| DR. MITHILESH J MISHRA | MD | 1710977723 |
| WILLIAM T CULLEN | MD | 1518916535 |
| RONALD D FORD | MD | 1558310912 |
| DR. JOHN ALAN GIROTTO | M.D. | 1417984162 |
| EWA D KOMOROWSKA-TIMEK | MD | 1710996319 |
| DR. ANDREA EMMA VAN PELT | M.D. | 1285756148 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.