Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LOUIS ALFRED PETRUCCO, M.D.
Active Sole ProprietorDR. LOUIS ALFRED PETRUCCO, M.D. is a Allergy & Immunology healthcare provider located in GROSSE ILE, Michigan. NPI 1770704454 is currently active in the NPPES registry. Verify at CMS.
Allergy & Immunology · GROSSE ILE, MI
Registration Details
- NPI Number
- 1770704454
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 1, 2007 (19.307286126432 yrs)
- Last Updated
- Sep 7, 2017
- License
-
5315026105 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9966 HAWTHORNE GLEN DRGROSSE ILE, MI, 481382100Browse MI providers · Browse ZIP 48138
- Phone
- 7345521561
- Primary Specialty
-
Allergy & Immunology
207RA0201X
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.